肾上腺静脉采血在影像学检查无法确定分型的原发性醛固酮增多症病因诊断中的应用
신상선정맥채혈재영상학검사무법학정분형적원발성철고동증다증병인진단중적응용
Identification of the etiology of primary aldosteronism with adrenal vein sampling in patients with equivocal imaging findings
  • 万方数据
    中华内分泌代谢杂志 중화내분비대사잡지
    CHINESE JOURNAL OF ENDOCRINOLOGY AND METABOLISM
    2012年 10期 842-844 ,共3页

    李平%沈山梅%张雪斌%房其军%舒欣%陈乐%黄洪%陈炜%胡云%朱斌%朱大龙

    리평%침산매%장설빈%방기군%서흔%진악%황홍%진위%호운%주빈%주대룡

    原发性醛固酮增多症%肾上腺静脉采血%醛固酮瘤%特发性醛固酮增多症 原髮性醛固酮增多癥%腎上腺靜脈採血%醛固酮瘤%特髮性醛固酮增多癥
    원발성철고동증다증%신상선정맥채혈%철고동류%특발성철고동증다증
    Primary aldosteronism%Adrenal vein sampling%Aldosterone-producing adenoma%Idiopathic hyperaldosteronism
    19例临床确诊但影像学检查无法确定是否为单侧病变的原发性醛固酮增多症患者,进行肾上腺静脉采血.19例患者中16例采血成功,3例失败.最终确诊APA(醛固酮瘤)、UAH(单侧性肾上腺皮质增生)共8例,IHA(特发性醛固酮增多症)8例.肾上腺静脉采血是原发性醛固酮增多症分型诊断的重要手段.
    19례림상학진단영상학검사무법학정시부위단측병변적원발성철고동증다증환자,진행신상선정맥채혈.19례환자중16례채혈성공,3례실패.최종학진APA(철고동류)、UAH(단측성신상선피질증생)공8례,IHA(특발성철고동증다증)8례.신상선정맥채혈시원발성철고동증다증분형진단적중요수단.
    A group of 19 referred hypertensive patients were diagnosed to have primary aldosteronism(PA) with inconclusive computed tomography scan results.Adrenal vein sarmpling (AVS) was performed in all patients.AVS was successful in 16 cases but failed in 3 cases.According to the results of AVS and postoperative pathology,8 cases were diagnosed as aldosterone-producing adenoma (APA) and unilateral adrenal hyperplasia (UAH),and the other 8 cases were diagnosed as idiopathic hyperaldosteronism (IHA).In conclusion,AVS is one of the most crucial methods in typing diagnosis of PA.
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