中青年高血压患者肾上腺影像学检查的临床意义

The Clinical Significance of Adrenal Imaging of Young Patients with Hypertension

目的观察分析中青年高血压患者的肾上腺影像学检查的临床意义。方法选取我院从2010年6月至2013年10月门诊及住院收治的中青年高血压患者共265例为研究对象,进行肾上腺影像学检查。结果经双侧肾上腺彩超筛查,发现14例单侧肾上腺可疑结节(左侧9例,右侧5例),1例双侧肾上腺可疑结节。彩超检查准确率为73.3%。其中11例经CT和MRI薄层扫描以及内分泌学相关检查,行后腹腔镜肾上腺瘤切除治疗。病理诊断证实为皮质醇增多症3例、原发性醛固酮增多症6例,无功能性腺瘤2例。肾上腺性高血压的发病率为4.15%。结论肾上腺影像学检查对中青年高血压患者有突出的临床应用价值,可以优先进行肾上腺彩超检查,尽早筛选出肾上腺性高血压,尽早进行治疗。

Objective To observe and analysis of hypertension patients adrenal imaging examination of clinical significance. Methods Our selection from June 2010 to October 2012 inpatient and outpatient young and middle-aged patients with high blood pressure were a total of 265 patients as the research object, carries on the adrenal imaging examination. Results After bilateral adrenal color dopplar ultrasound screening, found 14 cases of unilateral adrenal suspicious nodules （on the left on the right side of 9 cases, 5 cases）, 1 case of bilateral adrenal suspicious nodules. Color dopplar ultrasound inspection accuracy rate is 73.3%. 11 cases of the CT and MRI thin layer scanning and endocrinology related inspection, line after laparoscopic adrenal tumor resection. Pathological diagnosis was confu＇med by cortisol increased disease, 3 cases of primary aldosteronism 6 cases, no function adenomatous in 2 cases. Adrenal hypertension incidence was 4.15%. Conclusion Adrenal radiographic inspection of young and middle-aged patients with high blood pressure have prominent clinical application value, can is given priority to adrenal color dopplar ultrasound examination, were adrenal sex as soon as possible, hypertension treatment as soon as possible.