螺旋CT在肾癌伴下腔静脉癌栓诊断中的应用  

Spiral CT diagnosis of renal cell carcinoma with inferior vena cava tumor thrombus

作　　者：邹晓峰[1] 刘少强[2] 肖运政[1] 黄明[1] 袁源湖[1] 肖日海[1] 李旺林[1] 罗道升[1] 杨益龙 伍耿青[1] 

机构地区：[1]赣南医学院附属医院泌尿外科,江西省赣州市341000 [2]赣南医学院附属医院CT室,江西省赣州市341000 [3]江西省盘古山钨矿职工医院泌尿外科

出　　处：《中华泌尿外科杂志》2002年第9期530-532,共3页Chinese Journal of Urology

摘　　要：目的　探讨螺旋CT(SCT)在肾癌伴下腔静脉癌栓诊断中的作用。　方法　对 4例拟诊肾癌伴下腔静脉癌栓患者行SCT扫描 ,获得CT的容积数据进行后处理 ,将诊断结果与手术结果对照。　结果　术前 4例SCT诊断均提示肾癌伴下腔静脉癌栓 ,并能作出肿瘤分期、下腔静脉癌栓分型。手术结果证实SCT诊断正确。　结论　SCT能对肾癌伴下腔静脉癌栓作出明确诊断 ,并为手术提供指导 。Objective To investigate the clinical application and value of spiral CT(SCT) in the diagnosis of renal cell carcinoma (RCC) with inferior vena cava (IVC) tumor thrombus. Methods Spiral CT scans were performed for 4 cases clinically confirmed as RCC with IVC tumor thrombus.The imaging findings were checked with post operative pathological findings. Results RCC with IVC tumor thrombus were assessed in all the 4 patients by SCT.The carcinoma stage and the type of the tumor thrombus were also determined.Operative findings have been the same as SCT. Conclusions SCT,a non traumatic and effective method,can make accurate diagnosis of RCC with IVC tumor thrombus,providing much more information for clinical diagnosis and treatment.

关 键 词：螺旋CT 肾癌 下腔静脉癌栓 诊断 临床应用 合并症 

分 类 号：R737.11[医药卫生—肿瘤] R730.44[医药卫生—临床医学]