本文报告近17年来在我院手术治疗的原发性醛固酮增多症30例,并加以分析。以1983年11月为界.将本组病例分成两组作对比:1983年11月以前我们主要靠腹膜后空气造影和B型超声检查定位。大部分病人采用经腹腔探查手术,其后,则主要以CT作定位诊断,改用经11肋间切口处理病变。CT对本病的定位诊断很有帮助,但须结合临床病史及实验室检查方能发挥其最大作用。 This article reports 30 cases of primary aldosteronism treated surgically in our hospital for the past 17 years and analyzed them. In November 1983, the group was divided into two groups for comparison: Before November 1983, we mainly rely on retroperitoneal air radiography and B-mode ultrasound to locate. Most of the patients underwent an abdominal exploration operation. Later, they were mainly diagnosed by CT and were treated with 11 intercostal incisions. CT is very helpful in the diagnosis of this disease, but it must be combined with clinical history and laboratory tests to play its biggest role.