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Megan C Grundy1, Alexander A Leung1,2, Janice L Pasieka3
1Department of Medicine (M.C.G., A.A.L., G.A.K.), Cumming School of Medicine, University of Calgary, Alberta, Canada.
单侧上腺切除术可以为原发性阿尔多斯子症带来积极的结果,即使有不对称的对侧阿尔多斯子产量. 较高的逆侧抑制并不总是对手术的禁忌,但需要长期数据.
科学领域:
- 内分泌学 在内分泌学.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 手术瘤学手术瘤学
背景情况:
- 上腺静脉采样 (AVS) 对于诊断单边原发性阿尔多斯特隆症至关重要.
- 反边性阿尔多素产生表明双边疾病,但在这种情况下单边上腺切除术后的结果不明.
研究的目的:
- 评估单侧上腺切除术在患有原发性阿尔多斯特和不对称的逆侧阿尔多斯特产生的患者中短期到中期的结果.
主要方法:
- 对29名通过AVS横向化指导的单边上腺切除术的患者进行了回顾性图表审查.
- 收录标准:成功的AVS,横向化,没有对侧抑制.
- 使用初级阿尔多斯特罗尼斯手术结果 (PASO) 标准评估的结果.
主要成果:
- 在27名患者中,有20名患者实现了完整的生化反应 (平均随访时间为10.3周).
- 75%的患者经历了完全或部分的临床反应 (平均随访时间为27.3周).
结论:
- 单边上腺切除术可以带来有利的短期到中期生化和临床结果,在初级阿尔多斯质症与双边,不对称的阿尔多斯素生产.
- 较高的 contralateral 抑制指数不应该自动阻止推单边上腺切除术用于侧面化原发性 aldosteronism.
- 需要进行进一步的长期研究,以评估复发率和除程序的好处.
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