【摘要】 目的 探討超聲顯像對腎上腺腫瘤的定位、定性診斷與鑒別診斷價值。 方法 對 2003年1月-2009年1月125例疑為腎上腺腫瘤患者進行超聲及CT檢查，并經手術與病理證實。超聲顯像診斷后經手術與病理證實為嗜鉻細胞瘤48例，腎上腺皮質腺瘤41例，皮質腺癌11例，腎上腺轉移癌 9例，髓樣脂肪瘤8例，結節樣增生2例，腎上腺結核4例，胰尾部腫瘤1例，肝臟腫瘤1例，腎上極腫瘤1例。 結果 腎上腺腫瘤的病理類型不同，聲像圖表現亦各不相同。超聲顯像定位診斷符合率為96.0%（120/125），定性診斷符合率為91.2% （114/125）。 結論 超聲顯像對腎上腺腫瘤的定位與定性診斷價值較大，可作為臨床診斷的首選檢查方法。
【Abstract】 Objective To assess the value of ultrasonography in the diagnosis and differential diagnosis of tumors of adrenal gland. Methods From January 2003 to January 2009, 125 patients who were suspected to suffering from adrenal tumors underwent ultrasonography and CT examination. The results were then confirmed by surgery and pathology. There were 48 cases of pheochromocytoma, 41 adenoma, 11 adenocarcinoma, 9 metastatic tumor, 8 adrenal medullary lipoma, 2 nubblar hyperplasia, 4 tuberculosis of adrenal gland, 1 tumor of cauda pancreatic, 1 tumor of liver and 1 tumor of upper pole of kidney. Results The ultrasonographic features varied with different pathological types. The accuracy diagnosis of localizition and qualitation were 96.0% (120/125) and 91.2% (114/125) respectively. Conclusion Ultrasonography is useful in diagnosing tumors of adrenal gland, which may be used as the first choice for the disease.
引用本文： 李嘉俊,李永忠,馬曉娟. 超聲對腎上腺腫瘤的診斷與鑒別診斷價值. 華西醫學, 2010, 25(8): 1479-1482. doi: 復制