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超声造影鉴别肾柱肥大与肾脏肿瘤的价值
引用本文:李钧,周晓东,罗二平,陈定章,赵树杰,朱永胜,贺建国.超声造影鉴别肾柱肥大与肾脏肿瘤的价值[J].中国超声医学杂志,2006,22(4):308-310.
作者姓名:李钧  周晓东  罗二平  陈定章  赵树杰  朱永胜  贺建国
作者单位:1. 710032,西安市,解放军第四军医大学西京医院超声诊断科
2. 710032,西安市,解放军第四军医大学西京医院生物医学工程系
摘    要:目的 探讨超声造影鉴别肾柱肥大与肾脏肿瘤的价值。 方法 选用新型造影剂SonoVue对20例肾柱肥大、可疑肾肿瘤进行超声造影和动态观察。结果与病理对比。 结果 13例肾柱肥大超声造影表现为:超声造影过程中始终无包块轮廓出现;全肾血管走行正常;肥大肾柱造影剂显像与正常肾组织造影剂显像一致。7例肾脏肿瘤超声造影表现为:可见明显的肿瘤轮廓出现;其内部血管走行扭曲、紊乱;肿瘤内造影剂回声强弱不均。20例超声造影诊断均经病理诊断证实。 结论 超声造影能明确显示有无肾脏肿瘤的存在,对鉴别肾柱肥大与肾脏肿瘤具有较大的实用价值。

关 键 词:超声检查  造影剂  肾柱肥大  肾脏肿瘤
收稿时间:2005-10-17
修稿时间:2005年10月17

Study on Differential Diagnosis of Renal Column Hypertrophy and Renal Tumors by Pulsed Subtraction Contrast-enhanced Ultrasonography
Li Jun, Zhou Xiaodong, Luo Erping, et al.Study on Differential Diagnosis of Renal Column Hypertrophy and Renal Tumors by Pulsed Subtraction Contrast-enhanced Ultrasonography[J].Chinese Journal of Ultrasound in Medicine,2006,22(4):308-310.
Authors:Li Jun  Zhou Xiaodong  Luo Erping  
Abstract:Objective To evaluate the application of pulsed subtraction contrast-enhanced ultrasonography in differential diagnosis between renal column hypertrophy and renal tumors. Methods 13 cases of renal column hypertrophy, 10 cases of suspected renal tumors were examined with pulsed subtraction contrast-enhanced ultrasonography with a bolus injection of SonoVue. All lesions were confirmed by pathology. Results There were no tumor outline appearance during the whole procedure in the 13 cases of renal column hypertrophy. All vessels of the kidney were normal. There were no difference between renal column hypertrophy and normal renal tissue in the ultrasound contrast imaging. The contour with 7 cases with renal tumors were clearer in the ultrasound contrast imaging than that in routine ultrasonography. The tumor vessels and the tissue of necrosis in the renal tumor loci were clearer after the contrast agent wash in, and the tumor vessels were disordered and tortured. Conclusions The pulsed subtraction contrast-enhanced ultrasonography can reveal renal tumors and is a useful technique in the differential diagnosis of renal column hypertrophy and renal tumors.
Keywords:Ultrasonography  Contrast media  Renal column hypertrophy  Renal tumor  
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