中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2021, Vol. 43 ›› Issue (4): 653-658.doi: 10.3881/j.issn.1000-503X.13048

• 综述 • 上一篇    下一篇

原发性醛固酮增多症外科治疗的研究进展

严艺1,2,徐涛2()   

  1. 1首都医科大学附属北京安贞医院,北京 100029
    2北京大学人民医院泌尿外科,北京 100044
  • 收稿日期:2020-06-02 出版日期:2021-08-30 发布日期:2021-09-03
  • 通讯作者: 徐涛 E-mail:xutao@medmail.com.cn

Advance in Surgical Treatment for Primary Aldosteronism

YAN Yi1,2,XU Tao2()   

  1. 1Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China
    2Department of Urinary Surgery,Peking University People’s Hospital,Beijing 100044,China
  • Received:2020-06-02 Published:2021-08-30 Online:2021-09-03
  • Contact: XU Tao E-mail:xutao@medmail.com.cn

摘要:

原发性醛固酮增多症是导致继发性高血压最常见的原因,本文围绕与手术治疗相关的过程进行探讨,对现有证据进行总结,从对机体的影响、手术治疗的优势、患者选择和手术方式的选择、围手术期管理、手术疗效评估5个方面展开分析,最后提出对未来科研工作的展望,以期为临床工作提供参考。

关键词: 原发性醛固酮增多症, 肾上腺切除术, 继发性高血压

Abstract:

Primary aldosteronism is the most common cause of secondary hypertension.This review focuses on the procedures related to surgical treatment and summarizes the available evidence.We analyzed the impact of primary aldosteronism on the body,the advantages of surgical treatment,the choice of patients and surgical methods,perioperative management,and surgical efficacy evaluation.Finally,we put forward the prospect of scientific research in this field,with a view to providing reference for clinical work.

Key words: primary aldosteronism, adrenalectomy, secondary hypertension

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