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目的 探讨超声对特殊类型肾上腺嗜铬细胞瘤的诊断价值 ,指使临床上对该病特殊性有更深入地了解 ,以便处理时采取有效对策。方法 从收治 36例嗜铬细胞瘤患者中 ,对其中 1 1例特殊类型肾上腺嗜铬细胞瘤的临床特点及超声资料进行回顾性分析 ,并将声像图表现与病理结果对照。结果 4例为家族性 (其中 2例为双侧 ) ;1例伴有对侧肾上腺皮质腺瘤 ;4例为功能静止型 ;1例伴有顽固性低血钾 ;1例为双侧肾上腺区域多发性肿瘤 (其中左侧子瘤 3个 ,右侧子瘤 2个 )。超声诊断符合率 86 .6 7%(1 3/ 1 5 ) ,超声对其定位符合率 1 0 0 %(1 5 / 1 5处 ) ,超声对肿瘤个数检出率 83.33%(1 5 / 1 8个 )。结论 超声显像对特殊类型肾上腺嗜铬细胞瘤的诊断具有重要的临床价值。但应指出 ,并发症与肿瘤个数检出的准确性尚应进一步提高
Objective To investigate the diagnostic value of ultrasound on specific types of adrenal pheochromocytoma, which means to know more about the particularity of the disease clinically so as to take effective measures during treatment. Methods From 36 patients with pheochromocytoma, the clinical features and ultrasonographic data of 11 cases of adrenal pheochromocytoma were retrospectively analyzed, and the sonographic findings were compared with the pathological findings. Results Four patients were familial (two of them were bilateral), one was accompanied by contralateral adrenocortical adenoma, four were functional resting, one was associated with intractable hypokalemia, and one was bilateral adrenal Multiple tumors (of which 3 on the left tumor, on the right tumor 2). The coincidence rate of ultrasonic diagnosis was 86.67% (13/15), the coincidence rate was 100% (15/15) by ultrasound, the detection rate of tumor by ultrasound was 83.33% (15 / 18 pcs). Conclusion Ultrasonography has important clinical value in the diagnosis of adrenal pheochromocytoma. However, it should be pointed out that the accuracy of the detection of complications and the number of tumors should be further improved