专题研究(Monographic Study)

主动脉夹层合并功能性肾上腺肿瘤2例报告并文献复习

Published at: 2016年第25卷第6期

王雷 1 , 辛世杰 1 , 李禄增 1 , 张健 1 , 胡海地 1
1 中国医科大学附属第一医院 血管甲状腺外科,辽宁 沈阳 110001
通讯作者 世杰 辛 Email: sjxin@cmu.edu.cn
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2016.06.010
基金:

摘要

目的:探讨主动脉夹层(AD)合并功能性肾上腺肿瘤间的关系。方法:回顾近年收治的AD合并功能性肾上腺肿瘤患者共2例,结合相关文献复习,分析两种疾病间的关系。结果:1例患者拒绝手术治疗,1例患者一期行AD腔内修复术、二期行肾上腺肿瘤腹腔镜切除术,术后恢复佳;英文文献中共报道9例AD合并肾上腺肿瘤患者,国内仅有2例相关报道,两种疾病间的关系分析提示,功能性肾上腺肿瘤所分泌的激素引起继发性高血压或直接作用于动脉壁可能导致AD形成。结论:AD合并肾上腺肿瘤罕见,两者可能存在一定的关联性,临床诊治过程中应严格筛查。


Aortic dissection with functional adrenal tumors: a report of 2 cases and literature review

Abstract

Objective: To investigate the association between aortic dissection (AD) and functional adrenal tumors. Methods: Two patients with AD and concomitant functional adrenal tumors admitted in recent years were reviewed, and the relationship between the two diseases was analyzed and combined with related literature review. Results: One patient refused surgical treatment, while the other underwent first-stage aortic dissection endovascular repair and second-stage laparoscopic adrenal tumor resection, and recovered after surgery. There were a total of 9 cases with AD and concomitant functional adrenal tumors reported in English literature, and only 2 relevant cases seen in domestic literature. Relationship analysis between the two diseases indicated that the hormones secreted by the functional adrenal tumors may induce the AD formation through secondary hypertension or their direct actions. Conclusion: AD associated with functional adrenal tumors is rare and there may be a connection between the two diseases so, in clinical practice, rigid screening should be performed.


comments powered by Disqus

全文

引用

引用本文: 雷 王, 世杰 辛, 禄增 李, 健 张, 海地 胡. 主动脉夹层合并功能性肾上腺肿瘤2例报告并文献复习 [J]. 中国普通外科杂志, 2016, 25(6): 838-842.
Cite this article as: WANG Lei, XIN Shijie, LI Luzeng, ZHANG Jian, HU Haidi . Aortic dissection with functional adrenal tumors: a report of 2 cases and literature review[J]. Chin J Gen Surg, 2016, 25(6): 838-842.