【摘要】 本文分析了有手术病理对照的68例临床拟诊内分泌性高血压病人的CT检查资料,并结合其他影象诊断方法结果,探讨了CT在内分泌性高血压定位诊断中的价值。68例中,65例术前CT定位正确,1例假阴性,1例假阳性,1例错诊。对3例肾上腺错诊原因进行了分析,并对肾上腺和垂体的正常CT表现及诊断可靠性等进行了讨论。更多还原

【Abstract】 CT scan data of 68 patients with endocrine hypertension confirmed both by clinical and biochemical investigations were analysed in contrast to individual surgical and pathological findings as well. Moreover, CT in diagnostic localization of endocrine hypertension was compared with other diagnostic image approaches. In 68 cases scanned with CT, 65 were accurately localized preoperatively together with one false positive, one false negative and one erroneous results. CT scan revealed 27 cases of aldosteronoma, 17 cases of pheochromocytoma, one of adrenomedulla hyperplasia, 21 of Cushing’s syndrome (including 4 of adrenal adenoma and 17 of pituitary adenoma), one of JG cell tumor and one normal. So far, CT is the most accurate diagnostic approach in localization of endocrine hypertension. The causes accountable for the 3 diagnostic errors as well as the diagnostic reliability of CT scan to adrenal and pituitary glands in particular were discussed.更多还原