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囊性肾癌的超声诊断及鉴别诊断意义

葛明珠 崔涛 王霞 齐华

中国医疗设备2016,Vol.31Issue(9):67-70,4.
中国医疗设备2016,Vol.31Issue(9):67-70,4.DOI:10.3969/j.issn.1674-1633.2016.09.017

囊性肾癌的超声诊断及鉴别诊断意义

Effectiveness of Application of Ultrasound in Diagnosis and Differential Diagnosis of Cystic Renal Cell Carcinoma

葛明珠 1崔涛 2王霞 1齐华1

作者信息

  • 1. 青岛市肿瘤医院 腹部超声科,山东青岛 266042
  • 2. 青岛市中心医院 泌尿外科,山东 青岛 266042
  • 折叠

摘要

Abstract

Objective To investigate the effectiveness of application of ultrasound in diagnosis and differential diagnosis of CRCC (Cystic Renal Cell Carcinoma). Methods The preoperatively ultrasonic diagnose data of 31 CRCC patients who were treated in our hospital from January 2005 to January 2015 and confirmed surgically and pathologically were analyzed retrospectively. Results The preoperative diagnose accordance rate of CRCC by using ultrasound was 90.3% (28/31). According to the ultrasonographic features, the irregularly thickened cystic wall and/or separation were seen in 28 cases; 3 cases were misdiagnosed as simple renal cysts because of large cysts and thin and regular cystic walls; acoustic cystic fluid was found in 18 cases; 12 cases were associated with wall nodules and/or separated nodules; patchy and uneven calcification was revealed in cystic walls or separations in 5 cases. All the patients underwent color Doppler flow imaging (CDFI) examinations;the results showed that blood flow signals were detected in the thick cystic wall, separation or solid component in 17 cases. At the same time, power Doppler ultrasound examinations were also made; the results showed that blood flow signals were detected in 26 cases; the detection rate of power Doppler ultrasound (83.8%) was higher than that of CDFI (54.8%), with statistically significant difference (P<0.05). Conclusion Application of Ultrasound in diagnosis and differential diagnosis of CRCC demonstrated many advantages, which could provide reliable foundation for early clinical diagnosis of CRCC.

关键词

超声/囊性肾癌/彩色多普勒/能量多普勒

Key words

ultrasound/cystic renal cell carcinoma/color Doppler ultrasound/power Doppler ultrasound

分类

医药卫生

引用本文复制引用

葛明珠,崔涛,王霞,齐华..囊性肾癌的超声诊断及鉴别诊断意义[J].中国医疗设备,2016,31(9):67-70,4.

中国医疗设备

OACSTPCD

1674-1633

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