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多层螺旋CT多期扫描对透明细胞肾癌的诊断价值

The diagnostic value of multi-phase scan in clear cell renal cancer and its CT staging

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【作者】 张磊王震寰袁玉山许传义马婉颖宋斌

【Author】 ZHANG Lei;WANG Zhen-huan;YUAN Yu-shan;XU Chuan-yi;MA Wan-ying;SONG Bin;CT/MR Room,The People’s Hospital of Fuyang City;Department of Anatomy,Bengbu Medical College;

【机构】 安徽省阜阳市人民医院CT/MR室蚌埠医学院人体解剖学教研室

【摘要】 目的:探讨透明细胞肾癌的螺旋CT三期扫描表现及CT分期的价值。方法:对14例经手术病理证实的透明细胞肾癌患者CT三期扫描图像进行分析。结果:CT平扫混杂密度12例,等密度者2例;增强扫描2例强化峰值80.94 Hu;12例强化峰值>105 Hu;患者皮髓交界早期强化程度明显高于肾实质期(P<0.01);CT分期与病理分期相比,具有较高的准确率。结论:螺旋CT三期扫描可对透明细胞肾癌作出明确诊断,CT分期对术前方案制定有一定指导意义。

【Abstract】 Objective: To investigate the diagnostic value of the three phases spiral CT scan manifestation and its value in CT staging in clear cell renal carcinoma. Methods: The images of three phases CT scan in 14 patients with clear cell renal carcinoma confirmed by surgery pathology were analyzed. Results: CT scan mixed density in 12 cases and isodensity in 2 cases were found. The improved peak of enhanced scan in 2 cases and 14 cases were 80 to 94 and more than 105 Hu,respectively. Early intensive degree of corticomedullary was significantly higher than that in renal parenchyma( P < 0. 01). Compared with the pathological staging,the accuracy of CT staging was high. Conclusions: Three phases spiral CT scan can clearly diagnose the clear cell renal carcinoma,which has certain guiding significance in formulating the preoperative scheme.

  • 【文献出处】 蚌埠医学院学报 ,Journal of Bengbu Medical College , 编辑部邮箱 ,2016年05期
  • 【分类号】R737.11;R730.44
  • 【被引频次】9
  • 【下载频次】87
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