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目的 通过对各种肾上腺占位性病变声像图特点与手术后病理分型比较 ,探讨其间相关联系 ,以提高超声定性诊断正确率。方法 对超声检查发现肾上腺占位性病变并经手术证实的 14 8例肾上腺肿瘤声像图表现与手术及病理结果进行对照分析。结果 肾上腺良、恶性肿瘤病理种类很多 ,声像图各有特点 ,部分肿瘤如肾上腺髓样脂肪瘤、皮质腺癌、嗜铬细胞瘤等特异性声像图表现与其病理分型关系密切。结论 根据肾上腺肿瘤的病理分型及肿瘤的组织结构与超声图像联系 ,可提高超声对肾上腺肿瘤的定性诊断率。
OBJECTIVE: To compare the characteristics of various adrenal lesions with the pathological types of post-operative pathology, and to explore the correlation between them in order to improve the diagnostic accuracy of ultrasound. Methods The ultrasound findings of adrenal space-occupying lesions were confirmed by surgery and 14 cases of adrenal tumors sonographic findings and surgical and pathological results were analyzed. Results There were many pathological types of benign and malignant tumors in the adrenal gland. The sonography had its own characteristics. Some tumors such as adrenal lipoma, cortical adenocarcinoma and pheochromocytoma had close relationship with the pathological classification. Conclusion According to the pathological classification of adrenal tumor and tumor tissue structure and ultrasound images, can improve the qualitative diagnosis of adrenal tumors by ultrasound.