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Updated: Jan 31, 2026
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在左上腺静脉采样中,外围常见干和上腺中心静脉的等价性
Yuhai Zhang1, Meihui Huang2, Jingwen Yu1
1Department of Endocrinology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China.
Journal of vascular and interventional radiology : JVIR
|January 29, 2026
概括
周围常见干 (P-CMT) 是左侧中央上腺静脉 (LCV) 的可靠替代品,用于初级阿尔多斯特症中上腺静脉采样. 这两个地点都显示出类似的成功率和诊断准确度,用于横向化.
科学领域:
- 内分泌学 在内分泌学.
- 干预性放射学 干预性放射学
- 手术瘤学手术瘤学
背景情况:
- 上腺静脉采样 (AVS) 对于诊断原发性阿尔多斯特隆症 (PA) 是至关重要的.
- 精确地定位阿尔多素高分泌需要可靠的AVS技术.
- 确定最佳采样地点对于诊断产量至关重要.
研究的目的:
- 为了比较三个左上腺静脉采样点的疗效:左侧中央上腺静脉 (LCV),外围共同干 (P-CMT) 和中间共同干 (M-CMT).
- 确定最可靠的位置,以在PA患者中成功取取左上腺静脉样本.
主要方法:
- 在2019年9月至2023年10月期间,AVS对155名连续PA患者进行.
- 分析了成功率 (选择性指数[SI]≥2),阿尔多斯与皮质醇 (A/C) 的比率以及双边抑制.
- 来自LCV,P-CMT和M-CMT采样地点的数据进行了比较.
主要成果:
- 与M-CMT相比,LCV和P-CMT都显示出更高的皮质醇水平,SI和成功率 (p<0.05).
- 没有发现LCV和P-CMT之间的显著差异在血中阿尔多素度,A/C比率或侧面化指数 (LI).
- 皮尔森的分析证实了LCV和P-CMT之间血皮质醇,PAC和LI的强烈相关性.
结论:
- 周围常见干 (P-CMT) 是左侧中央上腺静脉 (LCV) 的有效和实用的替代方案,用于左侧上腺静脉采样.
- 对于横向性阿尔多激素高分泌,P-CMT的诊断准确度与LCV的诊断准确度相当.
- 这一发现支持P-CMT作为PA诊断中AVS的可靠选择.
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