论文部分内容阅读
对１２０例经手术、病理证实为原发性醛固酮增多症（ＰＡ）患者的临床资料进行回顾性分析。结果显示：皮质腺瘤 ９８例（８１．７％），皮质增生２２例（１８．３％）。手术前血清钾降低者 １１４例（９５．０％），最低者达 １．６ ｍｍｏｌ／Ｌ。测定１０３例血浆醛固酮均高于正常，测定９１例血浆肾素活性５４例低于正常（５９．３％）。Ｂ超检查１０６例，阳性７２例（６７．９％），ＣＴ检查１１０例，阳性１０５例（９５．５％）。手术后１２０例血清钾均恢复正常。说明ＰＡ的定性诊断主要依赖患者的血清钾降低及血浆醛固酮升高，Ｂ超及ＣＴ定位诊断较为准确。治疗方法以开放性手术切除肿瘤侧肾上腺为主。
The clinical data of 120 patients with pathologically confirmed primary aldosteronism (PA) were analyzed retrospectively. The results showed that: 98 cases of cortical adenoma (81.7%), 22 cases of cortical hyperplasia (18.3%). Preoperative serum potassium decreased in 114 cases (95.0%), the lowest was 1.6 mmol / L. Determination of 103 cases of plasma aldosterone were higher than normal, measured 91 cases of plasma renin activity 54 cases were lower than normal (59.3%). B ultrasound examination in 106 cases, positive in 72 cases (67.9%), CT examination in 110 cases, positive in 105 cases (95.5%). 120 cases of serum potassium returned to normal after surgery. Description of the qualitative diagnosis of PA mainly depends on the patient’s serum potassium and plasma aldosterone increased, B ultrasound and CT location diagnosis is more accurate. Treatment of open surgical excision of the tumor side of the adrenal based.