CT薄层增强扫描及图像后处理技术诊断肾肿瘤的价值研究  

Value of CT Thin-layer Enhanced Scan and Image Post-processing Technique in the Diagnosis of Renal Tumors

作　　者：焦志灵 刘棚越 李路鹏 王佳佳 王连渠 JIAO Zhi-ling;LIU Peng-yue;LI Lu-peng;WANG Jia-jia;WANG Lian-qu(Department of Urology,The First Affiliated Hospital of Henan University,Kaifeng 475001,Henan Province,China)

机构地区：[1]河南大学第一附属医院泌尿外科,河南开封475001

出　　处：《中国CT和MRI杂志》2024年第9期111-113,共3页Chinese Journal of CT and MRI

基　　金：2023年度河南省医学科技攻关计划省部共建重点项目(SBGJ202302091)。

摘　　要：目的探究CT薄层增强扫描及图像后处理技术诊断肾肿瘤的价值。方法回顾性分析本院2022年1月至2024年1月经病理证实的60例肾肿瘤患者临床资料,术前均已接受CT薄层增强扫描及图像后处理技术处理图像,以手术病理检查结果为“金标准”,计算CT对肾肿瘤患者TNM分期准确性。结果60例肾肿瘤患者经病理检查证实均为肾癌,其中肾透明细胞癌54例、乳头状肾细胞癌3例、肾嫌色细胞癌3例;病理T分期结果:T1a期16例、T1b期9例、T2a期10例、T2b期7例、T3a期8例、T3b期4例、T3c期3例、T4期3例;CT薄层增强扫描及图像后处理技术诊断T1a期16例、T1b期7例、T2a期11例、T2b期7例、T3a期8例、T3b期5例、T3c期3例、T4期3例,与病理结果的符合率为85%(51/60),Kappa值=0.821(P<0.05)提示两者一致性好。结论CT薄层增强扫描及图像后处理技术能够较准确地诊断肾肿瘤T分期,有助于指导手术治疗。Objective To explore the value of CT thin-layer enhanced scan and image post-processing technology in the diagnosis of renal tumors.Methods The clinical data of 60 patients with renal tumors confirmed by pathology in the hospital were retrospectively analyzed from January 2022 to January 2024.All patients had received CT thin-layer enhanced scan and image post-processing technique to process images before surgery.The accuracy of CT in TNM staging of patients with renal tumors was calculated with surgical pathology as the gold standard.Results All 60 patients with renal tumors were confirmed to be renal cell carcinoma by pathological examination,including 54 cases of renal clear cell carcinoma,3 cases of papillary renal cell carcinoma and 3 cases of chromophobe renal cell carcinoma.Pathological T staging revealed 16 cases of T1a stage,9 cases of T1b stage,10 cases of T2a stage,7 cases of T2b stage,8 cases of T3a stage,4 cases of T3b stage,3 cases of T3c stage and 3 cases of T4 stage.CT thinlayer enhanced scan and image post-processing technique diagnosed 16 cases of T1a stage,7 cases of T1b stage,11 cases of T2a stage,7 cases of T2b stage,8 cases of T3a stage,5 cases of T3b stage,3 cases of T3c stage and 3 cases of T4 stage,and the coincidence rate with pathological results was 85%(51/60),and Kappa=0.821(P<0.05)indicated that the consistency between the two was good.Conclusion CT thin-layer enhanced scan and image post-processing technique can accurately diagnose T staging of renal tumors and help guide surgical treatment.

关 键 词：肾肿瘤 CT薄层增强扫描 图像后处理 诊断价值 

分 类 号：R692[医药卫生—泌尿科学]