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目的:探讨肾上腺意外瘤中醛固酮瘤的左心室肥厚情况。方法:肾上腺意外瘤中醛固酮瘤患者21例(A组)和有症状的醛固酮瘤患者30例(B组),分别记录一般临床资料和生化指标,并进行超声心动图检查。对两组患者的临床特征、生化检测结果和左心室肥厚程度进行比较分析。结果:(1)B组左室后壁厚度、LVM、LVMI高于A组。(2)醛固酮瘤患者LVMI与立位血浆醛固酮独立相关。(3)B组左室肥厚发生率高于A组。结论:肾上腺意外瘤中醛固酮瘤的醛固酮分泌轻度升高可导致左心室肥厚。
Objective: To investigate the status of left ventricular hypertrophy in aldosteronoma in adrenal accidental tumor. Methods: Twenty-one patients with aldosteronoma (group A) and 30 patients with symptomatic aldosterone (group B) had adrenal accidental tumor. The clinical data and biochemical indexes were recorded and echocardiography was performed. The clinical features, biochemical test results and left ventricular hypertrophy were compared between the two groups. Results: (1) The left ventricular posterior wall thickness, LVM and LVMI in group B were higher than those in group A (2) LVMI in patients with aldosteronoma is independent of the level of plasma aldosterone. (3) The incidence of left ventricular hypertrophy in group B was higher than that in group A CONCLUSIONS: Aldosterone tumors have slightly elevated aldosterone secretion in adrenal accidental tumors and may lead to left ventricular hypertrophy.