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目的:探讨肾上腺嗜铬细胞瘤的血管造影表现及并发症。方法:收集6例疑诊右侧肾上腺嗜铬细胞瘤病人行腹主动脉及选择性肾上腺动脉造影检查及数字电影摄影。结果:瘤体均由右肾上腺动脉供血。血管造影显示动脉期肿瘤血管增多、增粗、纡曲。2例见静脉早显。实质期染色浓密、不均匀。静脉期仍可见瘤体较长时间染色。2例出现高血压危象,经对症处理,血压趋于稳定。结论:肾上腺嗜铬细胞瘤由肾上腺动脉供血,其富血管性及延长显影的血管造影特点,有助于区别其它腹腔及腹膜后肿块。术中应密切监测血压,出现危象应及时处理。
Objective: To investigate the angiographic findings and complications of adrenal pheochromocytoma. Methods: Six patients with suspected right adrenal pheochromocytoma underwent abdominal aorta and selective adrenal artery angiography and digital cinematography. Results: The tumors were all supplied by the right adrenal artery. Angiography showed arterial tumor vessels increased, thickening, Qu song. 2 cases of venous early display. The substantive stained dense, uneven. The venous phase is still visible tumor longer staining. 2 cases of hypertensive crisis, the symptomatic treatment, blood pressure tends to be stable. CONCLUSIONS: Adrenal pheochromocytoma is supplied by the adrenal artery and its angiographic features of vascularization and prolonged imaging contribute to the differentiation of other peritoneal and retroperitoneal masses. Intraoperative blood pressure should be closely monitored, there should be timely treatment of crisis.