35例嗜铬细胞瘤的诊治体会

目的探讨对嗜铬细胞瘤的诊断和治疗方法。方法对2001—2009年术后病理检查确诊的35例嗜铬细胞瘤患者的临床表现，影像学检查、实验室检查、同手术期处理，术式选择与术后随访结果进行回顾性分析。结果35例均行手术切除肿瘤，采用开放手术18例，后腹腔镜手术者有16例，膀胱内异位嗜铬细胞瘤经尿道切除1例，术中血压波动较大的有17例，术后1年随访所有患者血压均恢复正常。结论嗜铬细胞瘤表现为继发性高血压，诊断要结合3次以上尿VMA检查及影像学检查定性、定位，且充分的术前准备，是嗜铬细胞瘤切除手术成功的关键。

Experience from the diagnosis and treatment of 35 pheochromocytoma cases

Objective To summarize and analyse the treatmental experience of 35 cases of pheochromocytoma. Methods The diagnosis, preparation before operation, the modus of operation,and the main points in pre-post operation were retrospectively summarized. Results Thirty-five cases of tumor excision were successfully performed,including 16 cases with the laparoscope and 18 cases with the open surgery excision, 1 case with TURBT,during the operation the blood pressure was obviously fluctuant in 17 cases. Follow-up of 1 year duration for all cases show all the patient's blood pressure come to normal.Conclusion Pheochromocytoma diagnose should follow the thought of secondary hypertension diagnoses ,combine the result of more than 3 times VMA test and imaging representation to determine the nature and location of the tumour,but the key point of successful operation is sufficient preoperative preparation.