两例原发性醛固酮增多症伴无功能肾上腺结节的临诊应对  

Clinical management of two cases of primary hyperaldosteronism with non-functional adrenal nodules

作　　者：叶韬 朱筠[2] 张相双 杜志鹏 宋颖[1] 杨淑敏[1] 李启富[1] Ye Tao;Zhu Jun;Zhang Xiangshuang;Du Zhipeng;Song Ying;Yang Shumin;Li Qifu(Department of Endocrinology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Department of Endocrinology,People’s Hospital of Shenzhen Baoan District,Shenzhen,518101,China)

机构地区：[1]重庆医科大学附属第一医院内分泌科,重庆408300 [2]深圳市宝安区人民医院内分泌科,深圳518101

出　　处：《中华内分泌外科杂志（中英文）》2024年第3期461-462,共2页Chinese Journal of Endocrine Surgery

基　　金：国家重点研发计划"重大慢性非传染性疾病防控研究"重点专项(2022YFC2505300,2022YFC2505301,2022YFC2505302,2022YFC2505306);国家自然科学基金重点联合项目(U21A20355)。

摘　　要：原发性醛固酮增多症(primary aldosteronism,PA)主要包括醛固酮瘤(aldosterone-producing adenoma,APA)、特发性醛固酮增多症(idiopathic hyperaldosteronism,IHA)。APA常表现为单侧醛固酮分泌性结节,但也可伴无功能肾上腺结节,两者的鉴别较为困难。本文通过两例PA伴无功能肾上腺结节的临床特点及诊治过程进行分析、讨论,为PA的准确诊疗提供借鉴和思路。Primary aldosteronism(PA)mainly includes aldosteronoma(APA)and idiopathic aldosteronism(IHA).APA often presents as unilateral adrenal nodules,but can also be accompanied by non-functional adrenal nodules,which leads to difficulty of the identification.In this paper,the clinical characteristics,diagnosis and treatment process of two cases of PA with non-functional adrenal nodules were analyzed and discussed to provide some references for the accurate diagnosis and treatment of PA.

关 键 词：原发性醛固酮增多症 肾上腺结节 分型诊断 计算机断层扫描 肾上腺静脉取血术 

分 类 号：R586[医药卫生—内分泌]