原発性アルドステロン症の副腎腺腫の局在診断法の比較

概要

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Four methods; retroperitoneal air insufflation study, adrenal phlebography, adrenal scintiscan and estimation of plasma aldosterone in adrenal or renal veins, were compared to determine the diagnostic value for the location of adrenal adenoma in 27 patients with primary aldosteronism and one with idiophathic aldosteronism.<BR>The location of adrenal adenoma could be certainly determined, in 12 of 27 patients with primary aldosteronism by retroperitoneal air insufflation study, in 7 of 22 by adrenal phlebography, in 18 of 23 by estimation of aldosterone in adrenal or renal vein blood, and in 19 of 27 by adrenal scintiscan.<BR>From these results, it is concluded that firstly adrenal scintiscan with <SUP>131</SUP>I-cholesterol and then adrenal phlebography and estimation of aldosterone in adrenal and renal vein blood combined with retroperitoneal air insufflation study should be performed for determination of location of adrenal adenoma in primary aldosteronism.
日本内分泌学会の論文