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目的:探讨CT对肾上腺肿瘤的诊断价值。材料与方法:回顾性分析94例经手术病理证实的各类肾上腺肿瘤,观察其CT征象,提出诊断和鉴别诊断要点。结果:醛固酮腺癌肿块小,密度低;皮质醇腺瘤中等大小,中等密度;肾上腺原性腺综合征肿块较大,密度均匀;无机能性腺瘤与神经节瘤相似表现为肿块较大,密度略低;肾上腺皮质腺癌肿块巨大,呈不规则低密度;肾上腺转移癌肿块较大,密度不均匀;嗜铬细胞瘤肿块较大,密度不均匀,强化明显。结论:CT对肾上腺肿瘤检出率高,在定性诊断上有重要参考价值,本组诊断符合率为84%。
Objective: To investigate the diagnostic value of CT in adrenal tumors. Materials and methods: A retrospective analysis of 94 cases of all types of adrenal tumors confirmed by surgery and pathology, observation of CT signs, diagnosis and differential diagnosis points. RESULTS: Aldosterone adenocarcinoma was small in mass and low in density; Cortisol adenoma was of medium size and medium density; Adrenal glandular sydrome was larger in mass and uniform in density; Indifferent adenomas were similar to ganglionomas in that they had larger masses with slightly lower density. Low; adrenal gland adenocarcinoma mass is huge, irregular low density; adrenal metastatic cancer mass is larger, uneven density; pheochromocytoma tumor mass, uneven density, enhanced significantly. Conclusion: The detection rate of CT on adrenal tumors is high, and it has important reference value in qualitative diagnosis. The diagnostic compliance rate in this group is 84%.