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肾上腺囊肿临床较少见。1987～1996年我院收治10例,其中9例行手术治疗,效果满意。现报告如下。 临床资料:本组男6例,女4例;年龄27～67岁。囊肿位于右侧6例,左侧4例。临床表现为腰背痛5例,上腹不适3例,无症状查体发现2例。肾区叩击痛4例,腹部触及包块1例。血压均无异常。B超检查示肾上腺区囊性肿物,其中囊内有分隔1例。CT检查8例,CT值为6～18Hu。其中典型囊肿6例,不典型囊肿2例;2例囊内有钙化,1例有分隔,1例合并同侧肾脏囊肿。行MRI检查4例,显示囊肿信号强度均匀,为长T_1和长T_2信号,边缘锐利光滑。囊内合并出血时T_1和T_2加权像上囊内显示高信号。KUB和IVU检查9例,肾上腺区有软组织块影6例,周边状或弧线钙化影2例,同侧肾脏均有程度不同的下移。测定尿17羟、17酮类固醇7例,测定尿儿茶酚胺、尿VMA4例,测定血醛固酮1例,结果均正常。
Adrenal cyst clinical less common. From 1987 to 1996, 10 cases were treated in our hospital, of which 9 cases were treated surgically and the results were satisfactory. The report is as follows. Clinical data: The group of 6 males and 4 females; aged 27 to 67 years. Cysts were located on the right side in 6 cases and left side in 4 cases. Clinical manifestations of low back pain in 5 cases, 3 cases of abdominal discomfort, asymptomatic examination found 2 cases. Kidney area percussion pain in 4 cases, 1 case of abdominal touch mass. No abnormal blood pressure. B-ultrasound showed cystic mass in the adrenal gland, which was separated in 1 case of sac. CT examination in 8 cases, CT value of 6 ~ 18Hu. Among them, 6 cases were typical cysts and 2 cases were atypical cysts; 2 cases had calcification in cysts, 1 case had separation and 1 case had ipsilateral kidney cysts. 4 cases underwent MRI examination, showing that the signal intensity of the cyst was uniform, with long T_1 and long T_2 signals, and the edge was sharp and smooth. Intra-cystic hemorrhage T_1 and T_2 weighted images on the cyst showed high signal. KUB and IVU examination in 9 cases, 6 cases of soft tissue block in the adrenal area, peripheral or arc calcification in 2 cases, ipsilateral kidneys have different degrees of down. Determination of urinary 17 hydroxy, 17 keto steroids in 7 cases, urinary catecholamine determination of urinary VMA 4 cases, determination of serum aldosterone in 1 case, the results were normal.