影像学检查对原发性醛固酮增多症的定位诊断价值  

Diagnostic value of imaging in localizing primary al-dosteronism

作　　者：刘定益[1] 陈其智[1] 郑崇达[1] 吴瑜璇[1] 唐傲荣 龚新环[1] 朱承漠[1] 

机构地区：[1]上海第二医科大学附属瑞金医院

出　　处：《中华外科杂志》1994年第5期295-298,共4页Chinese Journal of Surgery

摘　　要：作者自１９８５年５月至１９９３年３月共手术治疗原发性醛固酮增多症１５９例，并将其中１０３例超声、ＣＴ及γ照相报告与手术病理结果进行比较，结果其诊断醛固酮瘤的符合率依次为８０．６％、７５．９％和６７．４％。对醛固酮瘤的定位诊断一般仅用超声与ＣＴ二种方法即可，如不能定位则可进一步做γ照相。综合上述三种影象学检查及临床资料，本组术前定位正确率达９６．１％。Abstract From May 1985 to March 1993,159 patients withprimary aldosteronism were treated surgically. The re-suIts of localization of aldosteronomas by B-type ultra-sonography,CT and scintigraphy in 103 were com-pared with pathological results. The accurate rate ofthe modalities was 80.6%,75.8%and67.4%respec-tively. As a routine,we usually employ sonographyand CT for localizing aldosteronomas,Only when diffi-culty was encountered with these two methods,scintigraphy was added.In our series,an accurate rateof 96.1%was obtained in surgical explorations withthese imaging examinations with a consideration ofclinical data.

关 键 词：肾上腺肿瘤 醛固酮增多 影像学诊断 

分 类 号：R736.604[医药卫生—肿瘤]