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计算机断层扫描在肾上腺疾病诊断中的应用

Computed tomography in the diagnosis of adrenal disease.

作者信息

Korobkin M, White E A, Kressel H Y, Moss A A, Montagne J P

出版信息

AJR Am J Roentgenol. 1979 Feb;132(2):231-8. doi: 10.2214/ajr.132.2.231.

DOI:10.2214/ajr.132.2.231
PMID:105590
Abstract

A series of 63 patients with suspected adrenal disease was evaluated by computed tomography (CT). In 15 additional patients CT diagnosed unsuspected adrenal disease. The CT results were correlated with surgical, postmortem, or compelling clinical data. In those patients with adequate visualization of both adrenals, CT correctly identified all adrenal masses subsequently proven at surgery or postmortem examination. CT accurately predicted the presence or absence of a unilateral adrenal neoplasm in patients with Cushing's syndrome and primary aldosteronism. Unsuspected primary or metastatic neoplasms of the adrenals were occasionally detected in patients scanned for other reasons. CT is a safe and accurate method of evaluating patients with suspected adrenal disease.

摘要

对63例疑似肾上腺疾病的患者进行了计算机断层扫描(CT)评估。另外15例患者经CT诊断出意外的肾上腺疾病。CT结果与手术、尸检或确凿的临床数据相关。在双侧肾上腺均能充分显影的患者中,CT正确识别了所有随后经手术或尸检证实的肾上腺肿块。CT准确预测了库欣综合征和原发性醛固酮增多症患者单侧肾上腺肿瘤的有无。在因其他原因进行扫描的患者中,偶尔会检测到意外的肾上腺原发性或转移性肿瘤。CT是评估疑似肾上腺疾病患者的一种安全、准确的方法。

相似文献

1
Computed tomography in the diagnosis of adrenal disease.计算机断层扫描在肾上腺疾病诊断中的应用
AJR Am J Roentgenol. 1979 Feb;132(2):231-8. doi: 10.2214/ajr.132.2.231.
2
Commentary on "Computed tomography in the diagnosis of adrenal disease" and "Nonfunctioning adrenal masses: incidental discovery on computed tomography".关于《计算机断层扫描在肾上腺疾病诊断中的应用》及《无功能肾上腺肿块:计算机断层扫描偶然发现》的述评
AJR Am J Roentgenol. 2009 Mar;192(3):568-70. doi: 10.2214/AJR.08.1718.
3
Computed tomography of the adrenal gland.肾上腺计算机断层扫描。
Radiology. 1978 Dec;129(3):723-30. doi: 10.1148/129.3.723.
4
Computed tomographic and ultrasonic localization of adrenal mass lesions.
S Afr Med J. 1983 May 28;63(22):843-7.
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Computed tomography of adrenal glands.肾上腺计算机断层扫描。
Radiol Clin North Am. 1979 Apr;17(1):91-104.
6
Validity of computerized tomography in adrenal diseases.
Computertomographie. 1981 Apr;1(1):11-6.
7
[Radiology of suprarenal glands (author's transl)].
Radiologe. 1975 Apr;15(4):149-56.
8
[Roentgenographic study of adrenal glands].
Rev Prat. 1973 Feb 21;23(11):907-21.
9
[Slow computerized tomography in the study of the adrenal glands].
Radiol Med. 1984 Jul-Aug;70(7-8):501-6.
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[X-ray diagnosis of the adrenals and their diseases].
Radiol Austriaca. 1967;17(3):231-44.

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2
Adrenal metastasis from carcinoma of the colon and rectum: a report of three cases.结肠直肠癌肾上腺转移:三例报告
Surg Today. 1993;23(5):444-8. doi: 10.1007/BF00309504.
3
Surgically resected adrenal leiomyoma: report of a case.手术切除的肾上腺平滑肌瘤:一例报告。
Surg Today. 1995;25(5):455-7. doi: 10.1007/BF00311827.
4
Massive nonfunctioning adrenal cortical adenoma: complementary roles of computed tomography (CT) and angiography in the diagnosis.
Cardiovasc Intervent Radiol. 1982;5(5):271-4. doi: 10.1007/BF02565411.
5
Adrenal carcinoma and adenoma in children: a review of 17 patients.儿童肾上腺皮质癌和腺瘤:17例病例回顾
Pediatr Radiol. 1983;13(1):11-8. doi: 10.1007/BF00975660.
6
Value of computed tomography of the abdomen and chest in investigation of Cushing's syndrome.腹部和胸部计算机断层扫描在库欣综合征检查中的价值。
Br Med J (Clin Res Ed). 1982 Mar 13;284(6318):771-4. doi: 10.1136/bmj.284.6318.771.
7
Computed tomography of the body: when should it be used?身体计算机断层扫描:何时应使用?
Br Med J (Clin Res Ed). 1982 Jan 2;284(6308):4-8. doi: 10.1136/bmj.284.6308.4.
8
Pheochromocytoma in childhood: the important role of computed tomography in tumour localization.
Pediatr Radiol. 1984;14(4):210-4. doi: 10.1007/BF01042243.
9
The incidentally discovered adrenal mass.偶然发现的肾上腺肿块。
Ann Surg. 1984 Jan;199(1):116-22. doi: 10.1097/00000658-198401000-00021.
10
The radiologist's role in acute endocrine problems.
World J Surg. 1982 Nov;6(6):725-34. doi: 10.1007/BF01655365.