Tonnelier M, Joffre F, Henry F, Ecoiffier J
Sem Hop. 1980;56(3-4):148-54.
Selective adrenal phlebography with measurement of hormone levels was used to investigate the majority of 58 cases of primary hyperaldosteronism. The authors stress the importance of pre-operative diagnosis of the lesion as surgery is indicated for adenomas only, and because of their small size they are often missed in adrenal scintigrams and on manual exploration during operation. They are in agreement with most other authors that adrenal phlebography is the most valid investigation, as it gives a precise diagnosis of the lesion in 92% of cases. The angiographic findings in the most common lesions are described, the difficulty in diagnosing peripheral small adenomas stressed, and the problems associated with the diagnosis of nodular hyperplasias outlined. They also underline the fundamental importance of selective hormone levels measurement, as these results are of equal value to those of the images themselves.
采用选择性肾上腺静脉造影并测定激素水平，对58例原发性醛固酮增多症中的大多数病例进行了研究。作者强调术前明确病变的重要性，因为仅腺瘤需要手术治疗，而且由于其体积小，在肾上腺闪烁扫描和手术中的手动探查时常常被遗漏。他们与大多数其他作者一致认为，肾上腺静脉造影是最有效的检查方法，因为它能在92%的病例中对病变做出精确诊断。文中描述了最常见病变的血管造影表现，强调了诊断外周小腺瘤的困难，并概述了与结节性增生诊断相关的问题。他们还强调了选择性激素水平测定的根本重要性，因为这些结果与图像本身的结果具有同等价值。
