目的 探究彩色多普勒超声(超 声)与电子计算机断层扫描(CT)联合检查 在肾上腺占位性病变定位及定性的诊断 价值。方法 回顾性分析我院经手术病 理检查确诊的112例肾上腺占位性病变 患者临床资料，比较112例患者超声、 CT及联合诊断在定位诊断准确率与定性 诊断准确率间的差异。结果 共112例肾 上腺占位性病变患者中肾上腺皮质肿瘤 有64例(57.14%)，肾上腺髓质肿瘤有48 例(42.86%)。超声与CT定位诊断准确率 比较，差异无统计学意义(P＞0.05)； 而联合诊断准确率明显高于超声及CT(P ＜0.05)。CT定性诊断准确率高于超声(P ＜0.05)，而联合诊断准确率明显高于超 声及CT(P＜0.05)。结论 超声与CT在肾上 腺占位性病变诊断中均有重要意义，而2 种检查方法联合诊断可提高定位及定性的 准确性，能更准确判断病变性质，为临床 选择最佳的治疗方案提供依据。

Objective To explore the diagnostic value of color Doppler ultrasound (ultrasound) combined with computed tomography (CT) in localization and quantitative diagnosis of adrenal space-occupying lesions. Methods The clinical data of 112 patients with adrenal lesions diagnosed by pathological examination in our hospital were analyzed retrospectively. The localization diagnostic accuracy and quantitative diagnostic accuracy of ultrasound, CT and combined diagnosis were compared among 112 cases. Results There were 64 cases (57.14%) of adrenocortical tumors and 48 cases (42.86%) of adenomedullary tumors in 112 cases of adrenal lesions. There was no significant difference in the localization diagnostic accuracy between ultrasound and CT (P>0.05), but the accuracy of combined diagnosis was significantly higher than that of ultrasound or CT (P<0.05). The quantitative diagnostic accuracy of CT was higher than that of ultrasound (P<0.05), but the accuracy of combined diagnosis was significantly higher than that of ultrasound or CT (P<0.05). Conclusion Both ultrasound and CT are important in the diagnosis of adrenal lesions, but the combined diagnosis of the two examinations can improve the localization accuracy and quantitative accuracy, and can determine the nature of lesions more accurately, and provide the basis for selecting the best clinical treatment regimen.