Liu D Y, Chen Q Z, Zheng C D
Ruijin Hospital of Shanghai Second Medical University.
Zhonghua Wai Ke Za Zhi. 1994 May;32(5):295-8.
From May 1985 to March 1993, 159 patients with primary aldosteronism were treated surgically. The results of localization of aldosteronomas by B-type ultrasonography, CT and scintigraphy in 103 were compared with pathological results. The accurate rate of the modalities was 80.6%, 75.8% and 67.4% respectively. As a routine, we usually employ sonography and CT for localizing aldosteronomas. Only when difficulty was encountered with these two methods, scintigraphy was added. In our series, an accurate rate of 96.1% was obtained in surgical explorations with these imaging examinations with a consideration of clinical data.
1985年5月至1993年3月，159例原发性醛固酮增多症患者接受了手术治疗。将103例醛固酮瘤患者的B型超声、CT及闪烁扫描定位结果与病理结果进行了比较。这些检查方法的准确率分别为80.6%、75.8%和67.4%。作为常规检查，我们通常采用超声和CT对醛固酮瘤进行定位。只有当这两种方法遇到困难时，才会加做闪烁扫描。在我们的病例系列中，结合临床资料，这些影像学检查在手术探查中的准确率达到了96.1%。
