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在三级/四级单位进行内分泌高血压手术的经验
I Bombil1, R A Muganza1, R Netshamutsindo1
1Department of Surgery, School of Clinical Medicine, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, South Africa.
概括
由于上腺/上腺瘤瘤引起的内分泌高血压在撒哈拉以南非洲很常见,诊断的预先时间很长. catecholamine分泌的瘤是最常见的原因,腹腔镜手术显示出有希望的结果.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 高血压研究 高血压研究
背景情况:
- 在全球范围内,内分泌高血压的诊断不足,特别是在发展中国家.
- 在撒哈拉以南非洲,对内分泌高血压的研究有限.
- 这项研究侧重于CHBAH的上腺/副质瘤相关的内分泌高血压.
研究的目的:
- 为了分析患有上腺/副质瘤起源的内分泌高血压的患者.
- 确定内分泌高血压的常见原因 (病因学).
- 评估诊断的时间 (头时间),手术方法和结果.
主要方法:
- 一个描述性观察研究的外科手术手术在CHBAH从2013年至2020年.
- 分析患者的人口统计,病因,瘤位置,手术技术和病理学.
- 评估恶性瘤发病率,诊断预先时间和30天的患者结果.
主要成果:
- 分析了44名患者:66%是女性,34%是男性;平均年龄38岁.
- 在65.9%的病例中,分泌catecholamine的瘤占据了这一比例.
- 平均领先时间为5-12年;恶性瘤发病率为15.9%;30天死亡率为4.5%.
结论:
- 在这个队列中,产生甲基荷胺的瘤是内分泌高血压的主要原因.
- 腹腔镜手术在43.1%的病例中是成功的.
- 观察到长时间的诊断延迟和左侧瘤的更高发病率.
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