本文選題：乏脂肪腎血管平滑肌脂肪瘤　切入點：腎透明細胞癌　出處：《實用醫(yī)學影像雜志》2016年06期 　論文類型：期刊論文

【摘要】：目的探討乏脂肪腎血管平滑肌脂肪瘤與均質(zhì)腎細胞腎癌的動態(tài)增強CT征象,提高對鑒別均質(zhì)腎腫瘤良惡性診斷的準確率,為臨床外科手術治療提供幫助。方法回顧性分析7例乏脂肪腎血管平滑肌脂肪瘤與20例平掃呈均質(zhì)的腎透明細胞腎癌CT動態(tài)增強影像,所有病例均進行多層螺旋CT動態(tài)增強掃描,并全部經(jīng)手術證實。結果 2組病例在平掃密度、強化形式、強化程度、皮髓期與實質(zhì)期CT值的差值差異有統(tǒng)計學意義(P0.05),證明CT增強在鑒別乏脂肪腎血管平滑肌脂肪瘤與均質(zhì)腎細胞腎癌具有重要意義。結論腎臟腫瘤行CT增強檢查可以提高術前診斷的正確性,有助于指導臨床術前手術評估。
[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.
【作者單位】： 浙江省瑞安市人民醫(yī)院放射影像科;
【分類號】：R737.11;R730.44

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