CT增强鉴别乏脂肪肾血管平滑肌脂肪瘤与均质肾透明细胞肾癌的影像研究

发布时间：2018-03-17 18:23

本文选题：乏脂肪肾血管平滑肌脂肪瘤　切入点：肾透明细胞癌　出处：《实用医学影像杂志》2016年06期 　论文类型：期刊论文

【摘要】：目的探讨乏脂肪肾血管平滑肌脂肪瘤与均质肾细胞肾癌的动态增强CT征象,提高对鉴别均质肾肿瘤良恶性诊断的准确率,为临床外科手术治疗提供帮助。方法回顾性分析7例乏脂肪肾血管平滑肌脂肪瘤与20例平扫呈均质的肾透明细胞肾癌CT动态增强影像,所有病例均进行多层螺旋CT动态增强扫描,并全部经手术证实。结果 2组病例在平扫密度、强化形式、强化程度、皮髓期与实质期CT值的差值差异有统计学意义(P0.05),证明CT增强在鉴别乏脂肪肾血管平滑肌脂肪瘤与均质肾细胞肾癌具有重要意义。结论肾脏肿瘤行CT增强检查可以提高术前诊断的正确性,有助于指导临床术前手术评估。
[Abstract]:Objective to investigate the dynamic enhanced CT findings of adipogenic renal angiomyolipoma and homogenous renal cell renal cell carcinoma, and to improve the accuracy of differential diagnosis of benign and malignant homogenous renal tumors. Methods dynamic enhanced CT images of 7 cases of adipose renal angiomyolipoma and 20 cases of homogenous renal clear cell renal cell carcinoma were analyzed retrospectively. All the patients underwent dynamic enhanced multi-slice spiral CT scan, and all of them were proved by operation. Results in the two groups, the density, the form and the degree of enhancement were observed in plain scan, enhancement form and degree of enhancement. The difference of CT value between the stage of skin marrow and the period of parenchyma is statistically significant (P 0.05), which proves that CT enhancement has important significance in differentiating adipogenic renal angiomyolipoma from homogeneous renal cell renal cell carcinoma. Conclusion CT enhanced examination of renal tumor can be used for the diagnosis of renal tumor. To improve the accuracy of preoperative diagnosis, It is helpful to guide clinical preoperative surgical evaluation.
【作者单位】：浙江省瑞安市人民医院放射影像科;
【分类号】：R737.11;R730.44

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