Mamytbekova D Z, Kolesnikova E K, Savel'ev V Iu
Biull Vsesoiuznogo Kardiol Nauchn Tsentra AMN SSSR. 1982;5(1):45-8.
Thirty patients with severe arterial hypertension of supposedly adrenal genesis underwent computer tomography (CTG) and scintigraphy of the adrenal glands by I131-cholesterol. Fifteen patients were not found to have hypertension of adrenal genesis. According to the CTG and scintigraphy data, 10 patients were found to have adenomas in one or two adrenal glands, the diagnoses in 8 of them being verified during operations. In 3 patients with normal CTG of the adrenal glands, hyperplasia of their glomerular zone was revealed. In 2 patients with changed CTG and normal scintigraphic picture of the adrenal glands, operations revealed cystic degeneration. Disparity of CTG and the adrenal glands scintigraphy data was observed in two cases: in incapsulated adenoma and in hyperplasia of the adrenal glomerular zone. Both of those methods, were, evidently, valuable equally inthe diagnosis of aldosteronomas of the adrenal glands, and in a number of cases they were mutually complementary.
30例疑似肾上腺源性重度动脉高血压患者接受了肾上腺计算机断层扫描（CTG）及I131 -胆固醇肾上腺闪烁扫描。15例患者未发现肾上腺源性高血压。根据CTG和闪烁扫描数据，10例患者一侧或双侧肾上腺发现腺瘤，其中8例在手术中得到确诊。3例肾上腺CTG正常的患者显示其肾小球带增生。2例肾上腺CTG改变但闪烁扫描图像正常的患者，手术发现为囊性变。在两例中观察到CTG与肾上腺闪烁扫描数据不一致：一例为包膜内腺瘤，另一例为肾上腺肾小球带增生。显然，这两种方法在肾上腺醛固酮瘤的诊断中同样有价值，且在许多情况下它们相互补充。
