肾上腺腺瘤型原醛症69例报告  

A clinical analysis of 69 cases of aldosterone-producing adenoma of the adrenal gland

作　　者：郭丰富[1] 赵霓兵[2] 王广建[1] 金光庭[1] 顾润国[1] 于相国[1] 

机构地区：[1]临沂市人民医院泌尿外科,山东276003 [2]临沂市中医医院泌尿外科

出　　处：《中华泌尿外科杂志》2001年第2期72-74,共3页Chinese Journal of Urology

摘　　要：目的　探讨分泌醛固酮的肾上腺腺瘤 (APA)的诊断和治疗方法。　方法　回顾性分析6 9例经手术和病理证实的APA患者临床资料。　结果　 6 9例患者术后 1周血钾恢复正常。 48例随访 3个月～ 10年 ,血压恢复正常 45例 ,3例需长期应用降压药维持。　结论　安体舒通试验、血醛固酮测定是APA的主要定性诊断方法 ,B超和CT是定位诊断的主要方法 ,准确率分别为 81.2 %和10 0 .0 %。外科手术是治疗APA的有效手段。Objective To study the diagnosis and treatment of aldosterone producing adenoma of the adrenal gland. Methods From January 1988 to January 2000,69 cases of aldosterone producing adenoma of the adrenal gland were diagnosed and treated.The diagnosis was all confirmed on open surgery and pathological studies. Results In all the patients,serum potassium level resumed to normal range in a week postoperatively.48 patients have been followed up for 3 months to 10 years,in 45 of them the blood pressure dropped to normal.In the other 3, drugs are still needed to control blood pressure after operation. Conclusions Spironolactonum test and serum aldosterone assay were the main methods of qualitative diagnosis of aldosterone producing adenoma.The location of the growth was mainly assessed on B ultrasono graphy and CT, the diagnostic accuracy being 81.2 percent and 100 percent respectively.Operation was the effective treatment method for aldosterone producing adenoma.

关 键 词：原发性醛固酮增多症 肾上腺腺瘤 诊断 治疗 

分 类 号：R736.6[医药卫生—肿瘤] R586.24[医药卫生—临床医学]