本文關(guān)鍵詞：多層CT用于乏脂性腎血管平滑肌脂肪瘤、非透明細(xì)胞腎癌患者鑒別診斷中的臨床效果　出處：《世界最新醫(yī)學(xué)信息文摘》2016年77期 　論文類型：期刊論文

  更多相關(guān)文章： 多層CT 腎血管平滑肌脂肪瘤 鑒別 非透明細(xì)胞腎癌

【摘要】：目的本次主要對多層CT用于乏脂性腎血管平滑肌脂肪瘤、非透明細(xì)胞腎癌患者鑒別診斷中的臨床效果進(jìn)行探討,旨在為臨床有效診斷提供參考依據(jù)。方法選取我院2014年3月至2016年3月收治并已確診的乏脂性腎血管平滑肌脂肪瘤、非透明細(xì)胞腎癌患者患者共54例,對所有患者的臨床資料進(jìn)行回顧性分析,其中10例乏脂性腎血管平滑肌脂肪瘤患者,21例乳頭狀腎細(xì)胞癌患者,23例嫌色細(xì)胞癌患者,所有患者均于術(shù)前給予多層CT平掃和增強(qiáng)掃描。結(jié)果乏脂性腎血管平滑肌脂肪瘤與乳頭狀腎細(xì)胞癌、嫌色細(xì)胞癌比較,女性的患病幾率更高,P0.05,具有可比性;且乏脂性腎血管平滑肌脂肪瘤較后兩者要小,P0.05。當(dāng)乏脂性腎血管平滑肌脂肪瘤平掃CT值的臨界值在41.2Hu時(shí),其特異性為77.5%,敏感性為78.9%;而非透明細(xì)胞腎癌平掃CT值的臨界值在23.5Hu時(shí),其特異性為79.5%,敏感性為81.3%;當(dāng)乏脂性腎血管平滑肌脂肪瘤廓清率在-7.3%時(shí),其上述指標(biāo)分別為84.3%與63.2%;非透明細(xì)胞腎癌廓清率在-8.6%時(shí)則為84.6%與70.5%;當(dāng)乏脂性腎血管平滑肌脂肪瘤皮髓期H值在39.4Hu時(shí),其上述指標(biāo)為68.5%與78.9%,而非透明細(xì)胞腎癌皮髓期H值在27.1Hu時(shí)上述指標(biāo)為70.4%、79.9%。結(jié)論乏脂性腎血管平滑肌脂肪瘤和非透明細(xì)胞腎癌在多層CT中的表現(xiàn)均具有一定的特征,但臨床診斷中并不容易被鑒別。
[Abstract]:Objective to investigate the clinical effect of multi-slice CT in differential diagnosis of renal angiomyolipoma and opaque renal cell carcinoma. Methods from March 2014 to March 2016, the diagnosis of adipose renal angiomyolipoma was confirmed in our hospital. The clinical data of 54 patients with opaque renal cell carcinoma were analyzed retrospectively. Among them, 10 patients with renal angiomyolipoma were diagnosed as papillary renal cell carcinoma (papillary renal cell carcinoma). All 23 cases of chromophobe cell carcinoma were examined with multislice CT and contrast-enhanced CT before operation. Results the results were compared with those of papillary renal cell carcinoma and chromophobe cell carcinoma in adipose renal angiomyolipoma. The incidence of disease in women was higher than that of P0.05, which was comparable. Compared with the latter two, adipose renal angiomyolipoma was significantly smaller (P 0.05). When the threshold value of plain scan CT was 41.2 Hu, its specificity was 77.5%. The sensitivity was 78.9; When the threshold of CT scan value of non-transparent cell renal cell carcinoma was 23.5 Hu, its specificity was 79.5% and the sensitivity was 81.3 Hu. When the clearance rate of adipose renal angiomyolipoma was -7.3, the above indexes were 84.3% and 63.2 respectively. The clearance rate of opaque cell renal cell carcinoma was 84.6% and 70.5 at -8.6; The above indexes were 68.5% and 78.9% when the value of H in the medullary phase of renal angiomyolipoma was 39.4 Hu. The above indexes were 70.4% when H value of nontransparent cell renal cell carcinoma was 27.1 Hu. Conclusion the findings of adipose renal angiomyolipoma and opaque cell renal cell carcinoma have some characteristics in multislice CT, but they are not easy to differentiate in clinical diagnosis.
【作者單位】： 河南省義馬市義煤集團(tuán)總醫(yī)院特檢科;
【分類號】：R737.11;R730.44
【正文快照】： 0引言腎血管平滑肌脂肪瘤為腎臟中最多見的一種良性腫瘤,主要由異常厚壁血管、成熟脂肪組織以及平滑肌組成[1]。較典型的腎血管平滑肌脂肪瘤常因包含較多的脂肪而極易診斷,但是約有4-5%的腎血管平滑肌脂肪瘤僅含極少或者不含脂肪,因而在CT上不能將脂肪的密度明確顯示出,這種腎

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