| 刘阳,陈双喜,朱丽,等.超声造影对肾脏实性肿瘤的诊断价值[J].中国临床保健杂志,2021,24(3):394-397. |
| 超声造影对肾脏实性肿瘤的诊断价值 |
| Value of contrast-enhanced ultrasound in the diagnosis of solid renal tumor |
| 投稿时间：2021-01-13 |
| DOI：10.3969/J.issn.1672-6790.2021.03.025 |
| 中文关键词: 肾肿瘤 超声检查,介入性 诊断技术,泌尿科 诊断,鉴别 |
| 英文关键词: Kidney neoplasms Ultrasonography,interventional Diagnostic techniques,urological Diagnosis,differential 〖FL |
| 基金项目:浙江省卫生健康科技计划项目(2020KY419,2021PY036)；浙江省中医药科技计划项目(2021ZB018) |
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| 中文摘要: |
| 目的 探讨肾脏实性肿瘤的常规超声表现及造影表现,提高超声诊断准确率。方法 回顾性分析86例经手术病理证实的肾脏实性肿瘤的超声表现及造影表现特点。结果 86例肾脏实性肿瘤中恶性病变63例:透明细胞型肾癌(CCRCC)43例,乳头状肾细胞癌(PRCC)9例,嫌色细胞型肾癌 (CHRCC)11例；23例为良性病变:肾血管平滑肌脂肪瘤(AML)10例及肾嗜酸细胞腺瘤(RO)13例。不同病理类型肾肿瘤在CEUS灌注期表现差异有统计学意义；环状高增强在恶性肾肿瘤中具有一定的特异性。结论 超声造影对肾脏实性肿瘤诊断及鉴别诊断具有一定的临床价值。 |
| 英文摘要: |
| Objective To investigate the sonographic and contrast-enhanced features of solid renal tumors and to improve the diagnostic accuracy of ultrasound.Methods The ultrasonographic and contrast-enhanced features of 86 cases of renal solid tumors confirmed by operation and pathology were analyzed retrospectively.Results Among 86 cases of solid renal tumors,63 cases were malignant lesions:43 cases were clear cell renal cell carcinoma (CCRCC),9 cases were papillary renal cell carcinoma (PRCC),11cases were chromophobe cell renal cell carcinoma (CHRCC);23 cases were benign lesions:10 cases were renal angiomyolipoma (AML) and 13 cases were renal oncocytoma (RO).Different pathological types of renal tumors in the perfusion phase of CEUS showed significant differences.Circular hyperenhancement had a certain specificity in malignant renal tumors.Conclusion CEUS has some clinical value in the diagnosis and differential diagnosis of solid renal tumors. |
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