摘要
目的 探讨原发性醛固酮增多症(PA)的诊断和治疗方法。方法 对1990年6月～1999年6月收治的PA患者37例(肾上腺皮质腺瘤29例,肾上腺皮质增生8例)进行回顾性分析。结果 获得随访的肾上腺皮质腺瘤24例(2425)和肾上腺皮质增生3例(37)术后治愈,仍有1例腺瘤和4例皮质增生者需辅以药物治疗。结论 高血压、低血钾、高血浆醛固酮是确诊PA的主要依据。B超、CT、MRI是PA的主要定位诊断方法。开放性手术是主要的治疗手段。
Objective To explore the diagnosis and treatment of Primary Aldosteronism(PA).Methods 37 cases of PA treated from June 1990 to June 1999 were analysed retrospectively (of all the 37 cases,29 were adrenocortical adenoma,and 8 adrenocortical hyperplasia).Results 24 cases (24/25) of adrenocortical adenoma with a follow-up survey and 3 cases of adrenocortical hyperplasia also with a follow-up survey were cured after operation.There was still one case of adenoma and 4 cases of hyperplasia needing treatment with the assistance of medication.Conclusion Hypertension,hypokalemia and high plasma aldosterone levels are the major bases for diagnosis.B-ultrasound,CT and MRI are the primary methods for the diagnosis of location.And open surgery is the main therapeutic method.
出处
《临沂医学专科学校学报》
1999年第4期277-278,共2页
Journal of Linyi Medical College
关键词
醛固酮增多症
原发性
诊断
治疗
Hyperaldosteronism
Primary
Adenoma
Cortex hyperplasia
