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目的：通过对原发性醛固酮增多症患者的ＣＴ检查，着重提出本病肾上腺皮质腺瘤的ＣＴ诊断。材料和方法：本文４３例均经手术及病理证实，男１１例，女３２例。年龄２１～５６岁，其中２１～４０岁占８５％。均有高血压病史及低血钾。ＣＴ使用薄层扫描。结果：本组均为一侧单发腺瘤，体积较小（直径＜２ｃｍ占８１％）密度低而且均匀。增强效果差，且突出于肾上腺形成“柄征”。结论：对原发性醛固酮增多症的诊断，主要依据临床表现，实验室检查材料。ＣＴ检查主要是要确定肾上腺是否有肿瘤，以及定位定量诊断。ＣＴ对肾上腺皮质腺瘤诊断可靠，醛固酮腺瘤有其ＣＴ影像特点，故ＣＴ检查有助于临床不典型病例的诊断。薄层扫描，增强ＣＴ有利于小腺瘤的显示。
Objective: Through CT examination of patients with primary aldosteronism, CT diagnosis of adrenal cortical adenoma of this disease is emphatically put forward. Materials and Methods: 43 cases were confirmed by surgery and pathology, 11 males and 32 females. Aged 21 to 56 years old, of which 21 to 40 years old accounted for 85%. Have a history of hypertension and hypokalemia. CT uses thin-layer scanning. Results: This group were single-sided adenomas, the smaller the volume (diameter <2cm 81%) low density and uniform. Enhance the poor, and prominent in the adrenal “handle sign.” Conclusion: The diagnosis of primary aldosteronism mainly based on clinical manifestations, laboratory tests of materials. CT examination is to determine whether the adrenal tumor, and quantitative diagnosis. CT adrenocortical adenoma diagnosis is reliable, aldosterone adenoma has its CT image features, so CT examination contributes to the clinical diagnosis of atypical cases. Thin-layer scanning, enhanced CT is conducive to the display of small adenomas.