肾盂癌的超声与CT诊断价值的对比分析  

Comparative analysis of the value of ultrasound and CT in diagnosis of carcinoma of the renal pelvis

作　　者：顾炫[1] 詹维伟[1] 胡赟赟[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院超声科,上海200025

出　　处：《肿瘤影像学》2015年第4期282-286,共5页Oncoradiology

摘　　要：目的:分析肾盂癌患者超声诊断结果,并与CT结果比较。方法:对45例经超声、CT检查,并经手术病理证实为肾盂癌的患者资料进行分析,比较超声与CT诊断的准确率。结果:45例病例中,超声正确诊断肾盂癌25例,准确率为55.56%(25/45);CT正确诊断肾盂癌34例,结核病1例,肾癌1例,准确率为80.00%(36/45)。两者比较差异有统计学意义(P<0.05)。结论:超声可作为肾盂癌的重要、初筛手段。但由于各种因素影响,其检出率有所限制。超声与CT联合检测可提高肾盂癌早期诊断的检出率。Objective： To analyze the ultrasonic diagnosis of carcinoma of the renal pelvis, and compare the ultrasonic results with computed tomography（CT） results. Methods： The data of 45 cases with carcinoma of the renal pelvis confirmed by ultrasound, CT or operation pathology were analyzed. The diagnostic accuracies of ultrasound and CT were compared. Results： Among 45 cases, ultrasound correctly diagnosed 25 cases with carcinoma of the renal pelvis. The accuracy was 55.56%（25/45）. CT correctly diagnosed 34 cases with carcinoma of the renal pelvis, 1 case with tuberculosis, and 1 case with renal cell carcinoma. The accuracy was 80.00%（36/45）. There was statistically significant difference between the two methods（P〈0.05）. Conclusion： Ultrasound is an important preliminary screening method in the diagnosis of carcinoma of the renal pelvis. But the detection rate is restrained due to various influencing factors. The combination of ultrasound and CT can improve the detection rate of early diagnosis.

关 键 词：超声检查 肾盂癌 计算机断层扫描 分析 

分 类 号：R445.1[医药卫生—影像医学与核医学] R445.3[医药卫生—诊断学]