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肾上腺静脉采血在影像学检查无法确定分型的原发性醛固酮增多症病因诊断中的应用 被引量：7

Identification of the etiology of primary aldosteronism with adrenal vein sampling in patients with equivocal imaging findings
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摘要 19例临床确诊但影像学检查无法确定是否为单侧病变的原发性醛固酮增多症患者，进行肾上腺静脉采血。19例患者中16例采血成功，3例失败。最终确诊APA（醛固酮瘤）、UAH（单侧性肾上腺皮质增生）共8例，IHA（特发性醛固酮增多症）8例。肾上腺静脉采血是原发性醛固酮增多症分型诊断的重要手段。 A group of 19 referred hypertensive patients were diagnosed to have primary aldosteronism（PA） with inconclusive computed tomography scan results. Adrenal vein sampling （AVS） was performed in all patients. AVS was successful in 16 cases but failed in 3 cases. According to the results of AVS and postoperative pathology, 8 cases were diagnosed as aldosterone-producing adenoma （ APA ） and unilateral adrenal hyperplasia （ UAH）, and the other 8 cases were diagnosed as idiopathic hyperaldosteronism （IHA）. In conclusion, AVS is one of the most crucial methods in typing diagnosis of PA.
作者 李平 沈山梅 张雪斌 房其军 舒欣 陈乐 黄洪 陈炜 胡云 朱斌 朱大龙
机构地区 南京大学医学院附属鼓楼医院内分泌科 南京大学医学院附属鼓楼医院放射科
出处 《中华内分泌代谢杂志》 CAS CSCD 北大核心 2012年第10期842-844,共3页 Chinese Journal of Endocrinology and Metabolism
基金 国家自然科学基金项目（基金编号：81000350） 南京市卫生青年人才项目
关键词 原发性醛固酮增多症 肾上腺静脉采血 醛固酮瘤 特发性醛固酮增多症 Primary aldosteronism Adrenal vein sampling Aldosterone-producing adenoma Idiopathic hyperaldosterouism
分类号 R586.24 [医药卫生—内分泌]
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参考文献2

二级参考文献9

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共引文献21

同被引文献82

  • 1张炜,汤正义,王卫庆,吴景程,张华,宁光.肾上腺静脉采血在原发性醛固酮增多症分型诊断中的应用[J].中华内分泌代谢杂志,2006,22(5):411-413. 被引量：18
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引证文献7

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中华内分泌代谢杂志
2012年 第10期

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