原发性醛固酮增多症的影像学诊断

原发性醛同酮增多症(PA)是继发性高血压最常见原因,根据其临床和生化特点可确定PA的诊断。影像学检查对PA中醛固酮瘤和特发性肾上腺皮质增生的分型诊断有着重要的价值,其中CT对PA的定位诊断和鉴别诊断尤为重要。肾上腺静脉采血为有创性检查,但其是PA分型诊断最为可靠的方法。

Imaging diagnosis of primary aldosteronism

Primary aldosteronism (PA) is a common cause for secondary hypertension.The diagnosis of PA is based on clinical and biochemical features of suspects.Imaging diagnosis plays an important role in differential diagnosis between the two main causes of PA:aldosterone-producing adenoma and idiopathic hyperaldosteronism.CT is especially important for the localization and differential diagnosis of PA.Adrenal venous sampling is invasive,but it is the most reliable approach for determining the causes of PA.