B型超声对肾上腺醛固酮瘤定位诊断研究——漏、误诊原因分析  

Study on Diagnostic Value of Ultrasonography in the Localization of Adrenal Aldosteronoma: Analysis of the Causes of Missed and Wrong Diagnoses

作　　者：龚新环[1] 王枫钊[1] 张晓燕[1] 周春[1] 沈彦清 王瑞伦[1] 

机构地区：[1]上海第二医科大学附属瑞金医院

出　　处：《中华超声影像学杂志》1998年第4期223-225,共3页Chinese Journal of Ultrasonography

摘　　要：在经手术治疗疑有肾上腺醛固酮瘤的原发性醛固酮增多症２３８例中，超声定位诊断的敏感性、特异性和诊断正确率分别为９２．９８％、８１．２５％和９２．２１％。其中误诊（假阳性）３例占１．２６％。漏诊单瘤患者１１例，另有５例为同侧双瘤患者，超声均只检出其中之一，故共漏检肿瘤（假阴性）１６（１１＋５）个占７．０１％。文中针对失误原因进行分析讨论，旨在探寻提高诊断率的途径。WT5”BZ〗In 238 Patients with primary aldosteronism the sensitivity, Specificity and the diagnostic accuracy of US localization were 92.98%、 81.25% and 92.21% respectively. 3 cases (1.26%) were wrong diagnosed. 11 cases of single tumor and in 5 cases one of the double tumors on same side, SO 16(11+5) tumors (7.01%) in total were missed. The causis of missed and wrong diagnosis were discussed in detail in order to improve the way of diagnosis.

关 键 词：超声描记术 肾上腺肿瘤 醛固酮瘤 诊断 

分 类 号：R736.604[医药卫生—肿瘤]