| 原发性醛固酮增多症手术治疗的研究进展 |
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| 引用本文： | 刘刚,王坤利,田野,储铸钢,罗光恒.原发性醛固酮增多症手术治疗的研究进展[J].中华泌尿外科杂志,2022(1):75-78. |
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| 作者姓名： | 刘刚 王坤利 田野 储铸钢 罗光恒 |
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| 作者单位： | 贵州医科大学临床医学院;贵州医科大学附属人民医院泌尿外科 |
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| 基金项目： | 贵州省科技支撑计划(黔科合支撑[2018]2793)。 |
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| 摘 要： | 确诊醛固酮腺瘤和单侧肾上腺增生的原发性醛固酮增多症患者首选手术治疗。手术治疗的目的是切除肾上腺醛固酮高分泌组织，改善预后，选择肾上腺全切术还是部分切除术，尚存争议。本文对不同术式治疗原发性醛固酮增多症的疗效、安全性、术后皮质醇水平、术后复发及手术技术等情况进行探讨。
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| 关 键 词： | 醛固酮增多症 原发性 手术 复发 疗效 |
The research progress in surgical treatment of primary hyperaldosteronism |
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| Liu Gang,Wang Kunli,Tian Ye,Chu Zhugang,Luo Guangheng.The research progress in surgical treatment of primary hyperaldosteronism[J].Chinese Journal of Urology,2022(1):75-78. |
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| Authors: | Liu Gang Wang Kunli Tian Ye Chu Zhugang Luo Guangheng |
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| Institution: | (School of Clinical Medicine,Guizhou Medical University,Guiyang 550004,China;Department of Urology,Affiliated People's Hospital of Guizhou Medical University,Guiyang 550002,China) |
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| Abstract: | Surgery is the first choice for patients with primary hyperaldosteronism diagnosed with aldosterone-producing adenoma and unilateral adrenal hyperplasia.The objective of surgical treatment is to excise the adrenal aldosterone hypersecretion tissue and improve the prognosis.However,the choice of partial adrenalectomy or total adrenalectomy is still controversial.In this paper,the efficacy,safety,postoperative cortisol level,postoperative recurrence and surgical techniques of primary hyperaldosteronism subtypes treated by different surgical methods were discussed. |
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| Keywords: | Hyperaldosteronism Primary Surgery Recurrence Efficacy |
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