换一批摘要确诊醛固酮腺瘤和单侧肾上腺增生的原发性醛固酮增多症患者首选手术治疗。手术治疗的目的是切除肾上腺醛固酮高分泌组织，改善预后，选择肾上腺全切术还是部分切除术，尚存争议。本文对不同术式治疗原发性醛固酮增多症的疗效、安全性、术后皮质醇水平、术后复发及手术技术等情况进行探讨。
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abstractsSurgery is the first choice for patients with primary hyperaldosteronism diagnosed with aldosterone-producing adenoma and unilateral adrenal hyperplasia.The objective of surgical treatment is to excise the adrenal aldosterone hypersecretion tissue and improve the prognosis. However, the choice of partial adrenalectomy or total adrenalectomy is still controversial. In this paper, the efficacy, safety, postoperative cortisol level, postoperative recurrence and surgical techniques of primary hyperaldosteronism subtypes treated by different surgical methods were discussed.
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