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回顾性分析、总结了25例PA的临床资料。结果:APA19例,占76%;特发性醛固酮增多症(I HA)6例,占24%;66·67%I HA患者立位后醛固酮上升大于33%,氨体舒酮试验阳性率达80%;B超、CT检查结果与PA的诊断符合率为72%、92%。结论:血、尿醛固酮、肾素活性测定与氨体舒通试验是PA的主要诊断方法;血醛固酮立位试验有助于肾上腺皮质肿瘤和增生的鉴别;双侧肾上腺静脉采样,是PA分型定侧的重要方法;PA的定侧主要依靠B超、CT;外科手术是治疗APA的重要方法;I HA多采用药物治疗。
Retrospective analysis, summarized the clinical data of 25 cases of PA. Results: There were 19 cases of APA, accounting for 76%; 6 cases of idiopathic aldosteronism (I HA), accounting for 24%; 66.67% of patients with I HA rising more than 33% of aldosterone, 80%; B ultrasound, CT examination and PA diagnosis of 72%, 92%. Conclusion: The determination of blood, urine aldosterone, renin activity and amifostine is the main diagnostic method of PA. The test of progesterone in aldosteronis is helpful for the differentiation of adrenocortical neoplasms and hyperplasia. The samples of bilateral adrenal veins are PA type An important method of setting the side; PA side mainly rely on B-ultrasound, CT; surgery is an important method of treatment of APA; I HA and more drug treatment.