Lau Jeshen H G, Drake William, Matson Matthew
Department of Endocrinology, St Bartholomew's Hospital, West Smithfield, London, EC1A 7BE, UK.
Cardiovasc Intervent Radiol. 2007 Jul-Aug;30(4):555-70. doi: 10.1007/s00270-007-9028-3.
Endocrine venous sampling plays a specific role in the diagnosis of endocrine disorders. In this article, we cover inferior petrosal sinus sampling, selective parathyroid venous sampling, hepatic venous sampling with arterial stimulation, adrenal venous sampling, and ovarian venous sampling. We review their indications and the scientific evidence justifying these indications in the diagnosis and management of Cushing's syndrome, hyperparathyroidism, pancreatic endocrine tumors, Conn's syndrome, primary hyperaldosteronism, pheochromocytomas, and androgen-secreting ovarian tumors. For each sampling technique, we compare its diagnostic accuracy with that of other imaging techniques and, where possible, look at how it impacts patient management. Finally, we incorporate venous sampling into diagnostic algorithms used at our institution.
内分泌静脉采血在内分泌疾病的诊断中发挥着特定作用。在本文中，我们涵盖了岩下窦采血、选择性甲状旁腺静脉采血、动脉刺激下的肝静脉采血、肾上腺静脉采血和卵巢静脉采血。我们回顾了它们在库欣综合征、甲状旁腺功能亢进、胰腺内分泌肿瘤、原发性醛固酮增多症、嗜铬细胞瘤和分泌雄激素的卵巢肿瘤的诊断和管理中的适应症以及支持这些适应症的科学证据。对于每种采血技术，我们将其诊断准确性与其他成像技术进行比较，并在可能的情况下探讨其对患者管理的影响。最后，我们将静脉采血纳入我们机构使用的诊断算法中。
