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目的 探讨肾上腺静脉插管检查在原发性醛固酮增多症 (原醛 )分型诊断中的应用价值。方法 临床 14例明确为原醛患者 ( 11例腺瘤及 3例增生 )经肾上腺静脉插管检查 ,取双侧肾上腺静脉以及肾静脉水平下的下腔静脉采血 ,测各点醛固酮和皮质醇水平 ,并将结果与影像学检查及术后病理结果进行比较。结果 腺瘤患者插管结果与影像学检查及术后病理结果无统计学差异 ,符合率为 81 82 % ( 9/ 11) ,3例增生患者插管结果与影像学检查结果均相符。结论 肾上腺静脉插管检查在原醛的分型诊断中有较好的准确性 ,是影像学检查有疑问时可选择的良好方法。
Objective To investigate the value of adrenal vein catheterization in the diagnosis of primary aldosteronism (primary aldosteronism). Methods The clinical manifestations of 14 cases of clear aldehyde patients (11 cases of adenoma and 3 cases of hyperplasia) by adrenal vein catheterization, both sides of the adrenal vein and renal vein at the level of the inferior vena cava blood collection, measuring points aldosterone and cortisol levels , And the results and imaging studies and postoperative pathological results were compared. Results There was no significant difference between the results of intubation and imaging and postoperative pathological findings in adenomas. The coincidence rate was 81 82% (9/11). The results of intubation and imaging examination in 3 cases of hyperplasia were consistent. Conclusion The adrenal vein catheterization has good accuracy in the diagnosis of primary aldosteronism and is a good alternative for imaging when in doubt.