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肾上腺疾病是继发性高血压的重要原因,正确认识肾上腺疾病有重要意义。由于多层螺旋CT在图像空间分辨率方面满足各向同性要求,因而三期增强扫描结合多平面重组(MPR)技术可进一步增加肾上腺病变检出的敏感性。肾上腺增生、肾上腺腺瘤和嗜铬细胞瘤是较常见引起肾上腺源性高血压的病因。本文对它们的病理、临床表现、实验室检查、及MSCT评价作一简要综述。
Adrenal disease is an important cause of secondary hypertension, a correct understanding of adrenal disease is of great significance. Because multislice CT satisfies isotropic requirements in image spatial resolution, phase III enhanced scan combined with multiplanar reorganization (MPR) can further increase the sensitivity of adrenal lesions detection. Adrenal hyperplasia, adrenal adenoma and pheochromocytoma are the more common causes of adrenogenic hypertension. This article gives a brief overview of their pathology, clinical manifestations, laboratory tests, and MSCT evaluations.