Abstract: 【Abstract】〓Objective〓To discuss the diagnosis and treatment experience of pheochromocytoma in pregnancy. Methods〓Three cases of pheochromocytoma in pregnancy were retrospectively analyzed. Results〓The age in the cases was 35,.28,.30 years old,.respective..All presented hypertension during pregnancy. The level of catecholamine or its metabolites of plasma or urinary in patients were higher than normal reference values..B ultrasound and MRI found adrenal tumor in the three patients. One case was found clinical silent adrenal tumor before pregnancy,.and presented hormonal activity after pregnancy..Another case presented pneumonedema when cesarean section..These two patients accepted laparoscopic surgery of adrenal laparoscopic pheochromocytoma. The histopathological findings proved pheochromocytoma..The third case underwent no surgical treatment..Conclusion〓Pheochromocytoma in pregnant patient is one of the most threatening medical conditions for mother and fetus. Early awareness and recognition is very important, the treatment of clinical silent adrenal pheochromocytoma in reproductive women should be more active.

Key words: Pheochromocytoma, Pregnancy, Diagnosis and treatment

摘要： 【摘要】 目的 探讨妊娠合并嗜铬细胞瘤的诊治经验。方法〓回顾分析3例病例的诊断与治疗经历。结果〓3例年龄分别为35、28、30岁,均为妊娠期间血压高,血尿儿茶酚胺及代谢产物均升高,B超或MR发现肾上腺占位。3例中例1怀孕前意外发现无功能瘤,妊娠后肿瘤出现分泌功能,例2于剖腹产时出现肺水肿;例1于妊娠中期、例2于产后行后腹腔镜下肾上腺肿瘤切除术,术后病理均证实为嗜铬细胞瘤,例3没有接受手术治疗。结论〓妊娠合并嗜铬细胞瘤对孕产妇、胎儿的危害性大,临床医生应高度重视该病,及早诊断治疗;育龄妇女的功能静止型嗜铬细胞瘤应更积极处理。

关键词: 嗜铬细胞瘤, 妊娠, 诊治体会