64排CT成像在肾癌诊治中的应用(附39例分析)  

64-slices spiral CT and 3D reconstruction in the diagnosis and treatment of renal cell carcinoma(an analysis of 39 cases)

作　　者：齐丽丽[1] 杨文增[1] 崔振宇[1] 王全胜[1] 马涛[1] 张伟[1] 师晓强[1] 

机构地区：[1]河北大学附属医院泌尿外科,河北保定071000

出　　处：《现代泌尿外科杂志》2010年第3期168-170,共3页Journal of Modern Urology

摘　　要：目的探讨64排CT成像在肾癌诊断及治疗方面的应用价值。方法回顾性分析39例经手术病理证实的肾癌患者的术前64排CT成像资料。结果 39例均病理证实为肾癌,肿瘤直径2.8～13.0 cm,平均5.6 cm。病灶均有不同程度的强化,血管成像显示8例存在副肾动脉,17例清晰显示肿瘤供应血管。结论 64排CT成像能清晰显示肾癌的影像学特征,对于制定手术方案及预防并发症等具有重要临床意义,应作为肾癌术前首选的影像学检查方法之一。Objective To explore the value of 64-slices spiral CT and 3D reconstruction in the diagnosis and treatment of renal cell carcinoma. Methods A total of 39 cases were diagnosed as renal cell carcinoma by pathology, and the images obtained from 64-slices CT and 3D reconstruction were retrospectively analyzed. Results Of the 39 cases, the mean diameter was 5.6 cm（ranging from 2.8-13.0 cm）. Different levels of enhancement were showed in all cases, accessory renal arteries were showed in 8 cases, and vessels of renal cell carcinoma were showed in 17 cases. Conclusion 64-slices CT and 3D reconstruction can clearly display the images of renal cell carcinoma and is very important in the treatment and prevention of complications. 64-slices CT should be considered as one of the optimal imaging diagdostic methods for the clinical examination of renal cell carcinoma.

关 键 词：肾癌 体层摄影术 螺旋计算机 

分 类 号：R692.4[医药卫生—泌尿科学]