Deckert F, Schulz H G
Z Gesamte Inn Med. 1977 Nov 1;32(21):559-63.
In recent years the construction and increase of sensitiveness of clinical and biochemical test methods resulted in an essential improvement of the functional diagnostics of adrenal diseases. For the objectivation of the findings and for the preoperative localisation radio-morphological, nuclear-medical and sonographic investigation methods are used. The greatest certainty in the diagnostics also of relatively small changes of the adrenal glands is at present achieved by means of the selective, retrograde venography of the adrenal glands in connection with a selective withdrawal of venous blood for the analysis of hormones. The most essential field of indication for this investigation technique are overfunctions of the adrenal cortex as well as hormone-active and hormone-inactive tumorous (benign and malignant) adrenal processes.
近年来，临床和生化检测方法的构建及其灵敏度的提高，使得肾上腺疾病的功能诊断有了实质性的改善。为了使检查结果客观化以及进行术前定位，采用了放射形态学、核医学和超声检查方法。目前，通过肾上腺选择性逆行静脉造影并结合选择性采集静脉血进行激素分析，即使是肾上腺相对较小的变化，在诊断中也能达到最大的确定性。这项检查技术最重要的适应证领域是肾上腺皮质功能亢进以及激素活性和非激素活性的肿瘤性（良性和恶性）肾上腺病变。
