腺瘤型原发性醛固酮过多症的诊断与治疗

目的提高腺瘤型原发性醛固酮过多症的诊治水平。方法统计并分析了1996-01～2002-06我院收治的39例该病患者的诊断及治疗方法。结果39例患者均得到确诊并行手术治疗并取得满意疗效,血钾水平在一周后恢复正常水平。结论安体舒通试验、血醛固酮测定是该病的主要定性诊断方法熏B超和CT是其定位诊断的主要方法,外科手术是治疗的有效手段。

Diagnosis and treatment of adenoma-type primary hyperaldosteronism:A report of 39 cases

Objective To study diagnosis and treatment of primary aldosterone-producing adenoma of the adrenal gland. Methods From Jan. 1996 to Jun. 2002- the 39 cases of this disease were diagnosed and treated. The diagnosis was all confirmed on open surgery and pathological studies. The above data were analysed retrospectively. Results In all the patients - serum potassium level resumed to normal range in a week postoperatively- and with satisfactory effects. Conclusions Spironolactonum test and serum aldosterone assay are main methods of qualitative diagnosis of the disease. The location of the growth is mainly assessed on B ultrasonography and CT- the diagnostic accuracy being 81.2 percent and 100 percent respectively.Operation is the effective treatment method for the disease.