肾上腺静脉插管取血在原发性醛固酮增多症分型诊断中的意义

被引:11
作者
张炜
汤正义
方文强
赵咏桔
罗邦尧
胡仁明
宁光
机构
[1] 上海第二医科大学附属瑞金医院内分泌科上海市内分泌研究所
关键词
肾上腺静脉插管; 醛固酮瘤; 肾上腺增生;
D O I
暂无
中图分类号
R586.24 [];
学科分类号
1002 ; 100201 ;
摘要
目的 探讨肾上腺静脉插管检查在原发性醛固酮增多症 (原醛 )分型诊断中的应用价值。方法 临床 14例明确为原醛患者 ( 11例腺瘤及 3例增生 )经肾上腺静脉插管检查 ,取双侧肾上腺静脉以及肾静脉水平下的下腔静脉采血 ,测各点醛固酮和皮质醇水平 ,并将结果与影像学检查及术后病理结果进行比较。结果 腺瘤患者插管结果与影像学检查及术后病理结果无统计学差异 ,符合率为 81 82 % ( 9/ 11) ,3例增生患者插管结果与影像学检查结果均相符。结论 肾上腺静脉插管检查在原醛的分型诊断中有较好的准确性 ,是影像学检查有疑问时可选择的良好方法。
引用
收藏
页码:152 / 154
页数:3
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