超声造影对肾脏实性肿瘤的诊断价值  

Value of contrast-enhanced ultrasound in the diagnosis of solid renal tumor

作　　者：刘阳[1] 陈双喜[1] 朱丽[1] 李建春[1] 叶瑞忠[1] 王立刚[1] 范小明[1] Liu Yang;Chen Shuangxi;Zhu Li;Li Jianchun;Ye Ruizhong;Wang Ligang;Fan Xiaoming(Department of Ultrasonography,Zhejiang Provincial Peoples Hospital,People′s Hospital of Hangzhou Medical College,Hangzhou 310014,China)

机构地区：[1]浙江省人民医院杭州医学院附属人民医院超声医学科,杭州310014

出　　处：《中国临床保健杂志》2021年第3期394-397,共4页Chinese Journal of Clinical Healthcare

基　　金：浙江省卫生健康科技计划项目(2020KY419,2021PY036);浙江省中医药科技计划项目(2021ZB018)。

摘　　要：目的探讨肾脏实性肿瘤的常规超声表现及造影表现,提高超声诊断准确率。方法回顾性分析86例经手术病理证实的肾脏实性肿瘤的超声表现及造影表现特点。结果86例肾脏实性肿瘤中恶性病变63例:透明细胞型肾癌(CCRCC)43例,乳头状肾细胞癌(PRCC)9例,嫌色细胞型肾癌(CHRCC)11例;23例为良性病变:肾血管平滑肌脂肪瘤(AML)10例及肾嗜酸细胞腺瘤(RO)13例。不同病理类型肾肿瘤在CEUS灌注期表现差异有统计学意义;环状高增强在恶性肾肿瘤中具有一定的特异性。结论超声造影对肾脏实性肿瘤诊断及鉴别诊断具有一定的临床价值。Objective To investigate the sonographic and contrast-enhanced features of solid renal tumors and to improve the diagnostic accuracy of ultrasound.Methods The ultrasonographic and contrast-enhanced features of 86 cases of renal solid tumors confirmed by operation and pathology were analyzed retrospectively.Results Among 86 cases of solid renal tumors,63 cases were malignant lesions:43 cases were clear cell renal cell carcinoma(CCRCC),9 cases were papillary renal cell carcinoma(PRCC),11cases were chromophobe cell renal cell carcinoma(CHRCC);23 cases were benign lesions:10 cases were renal angiomyolipoma(AML)and 13 cases were renal oncocytoma(RO).Different pathological types of renal tumors in the perfusion phase of CEUS showed significant differences.Circular hyperenhancement had a certain specificity in malignant renal tumors.Conclusion CEUS has some clinical value in the diagnosis and differential diagnosis of solid renal tumors.

关 键 词：肾肿瘤 超声检查 介入性 诊断技术 泌尿科 诊断 鉴别 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.11[医药卫生—诊断学]