两例原发性醛固酮增多症伴无功能肾上腺结节的临诊应对

Clinical management of two cases of primary hyperaldosteronism with non-functional adrenal nodules

原发性醛固酮增多症(primary aldosteronism,PA)主要包括醛固酮瘤(aldosterone-producing adenoma,APA)、特发性醛固酮增多症(idiopathic hyperaldosteronism,IHA)。APA常表现为单侧醛固酮分泌性结节,但也可伴无功能肾上腺结节,两者的鉴别较为困难。本文通过两例PA伴无功能肾上腺结节的临床特点及诊治过程进行分析、讨论,为PA的准确诊疗提供借鉴和思路。

Primary aldosteronism(PA)mainly includes aldosteronoma(APA)and idiopathic aldosteronism(IHA).APA often presents as unilateral adrenal nodules,but can also be accompanied by non-functional adrenal nodules,which leads to difficulty of the identification.In this paper,the clinical characteristics,diagnosis and treatment process of two cases of PA with non-functional adrenal nodules were analyzed and discussed to provide some references for the accurate diagnosis and treatment of PA.