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在一次性阿尔多斯特罗尼斯的侧面病例中,在不完全的上腺切除术后进行皮肤穿透的射频切除
Pierre-Antonin Rigon1, Nicolas Villard2, Karim-Alexandre Abid3
1Département de Médecine, Service de Néphrologie et d'Hypertension, Centre Hospitalier Universitaire Vaudois, and Université de Lausanne, Lausanne 1005, Switzerland.
JCEM case reports
|October 31, 2025
概括
射频切除 (RFA) 提供了一个成功的替代方案,持续的原发性阿尔多斯特隆症 (PA) 后上腺切除. 这种微创治疗可以使PA标志物正常化,避免重复手术及其风险.
科学领域:
- 内分泌学 在内分泌学.
- 腎臟病學 (nephrology) 是一種醫學.
- 手术创新 在外科创新.
背景情况:
- 原发性阿尔多斯特隆症 (PA) 是二次高血压的常见原因.
- 手术上腺切除术是单边PA的首要治疗方法,其治愈率很高.
- 射频除 (RFA) 为患有手术禁忌的患者提供了一个替代方案.
研究的目的:
- 评估RFA在初始上腺切除术后治疗持久性PA的疗效.
- 评估RFA作为一种最小侵入性的选择,以避免重复的外科干预.
主要方法:
- 一名56岁的患有PA引起的高血压的患者接受了左腹腔镜上腺切除术.
- 手术后,确定了剩余的上腺残留物,导致持续的PA.
- 激素检查证实了持续的PA,并进行了RFA来治疗残留物.
主要成果:
- 这位患者呈现出PA的二次高血压,左侧化得到证实.
- 在左腹腔镜上腺切除术后,检测到剩余的上腺残留物,导致持续的PA.
- 射频除 (RFA) 成功使PA标记正常化,表明生物成功.
结论:
- 虽然上腺切除术失败并不常见,但RFA是一种可行的替代治疗方法.
- 在持续的PA病例中,RFA可以防止需要重复手术和相关风险.
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