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目的 探讨采用 CT导向下经皮注射乙酸 (PAI)介入治疗肾上腺醛固酮瘤 (APA)的可行性 ,并观察其近期临床疗效。方法 观察 3例肾上腺醛固酮瘤患者采用 CT导向下经皮注射乙酸介入治疗前后的临床症状、血压、血钾、醛固酮、血管紧张素 、肾素及肾上腺结节变化 ,并观察其不良反应。结果 采用 CT导向下经皮注射乙酸介入治疗肾上腺醛固酮瘤可以改善患者临床症状 ,降低血压 ,维持正常血钾 ,降低血浆醛固酮水平 ,升高血管紧张素 、肾素水平 ,影像学上肾上腺结节消失。其不良反应轻微。结论 采用 CT导向下经皮注射乙酸介入治疗肾上腺醛固酮瘤是安全、有效的
Objective To investigate the feasibility of percutaneous transarterial injection of acetic acid (PAI) under the guidance of CT in the treatment of adrenal aldosteronoma (APA) and to observe its clinical efficacy in the near future. Methods The clinical symptoms, blood pressure, serum potassium, aldosterone, angiotensin, renin and adrenal nodules in 3 patients with adrenal aldosteronoma before and after percutaneous acetic acid intervention were observed and their adverse reactions were observed. Results The percutaneous injection of acetic acid percutaneous injection of adrenal aldosterone tumor under CT guidance can improve the clinical symptoms, reduce blood pressure, maintain normal serum potassium, lower plasma aldosterone levels, increase the levels of angiotensin and renin, and radiologically disappear of adrenal nodules . Adverse reactions are mild. Conclusion CT-guided percutaneous injection of acetic acid in the treatment of adrenal aldosteronoma is safe and effective