超声与CT 联合诊断肾上腺占位病变的价值探讨

目的：探讨超声与C T联合应用诊断肾上腺占位性病变的价值。方法将病理证实的55例肾上腺肿瘤、2例囊肿及超声、C T随访确诊的13例肾上腺血肿，共70例占位性病变的超声与C T联合诊断作回顾性分析，并分别与超声、C T单项检查进行比较。结果70例肾上腺占位病变（嗜铬细胞瘤14例，髓样脂肪瘤13例，皮质腺瘤15例，皮质腺癌5例，淋巴瘤2例，转移性肿瘤6例，囊肿2例，血肿13例），超声与C T联合应用定性诊断正确率达88．6％，而超声、C T 单项检查定性诊断正确率分别为62．8％、72．9％，联合应用与单项检查比较均有显著差异，与超声单项检查比较（χ2＝12．58，P＜0．05），与C T单项检查比较（χ2＝5．55，P＜0．05）。结论超声与C T联合应用，可显著提高肾上腺占位性病变定性诊断正确率。

Diagnosis value of ultrasound combined with CT in adrenal lesions

Objective To evaluate the value of ultrasound and CT in the diagnosis of adrenal lesions .Methods A total of 70 pa‐tients of adrenal lesions were examined by ultrasound combined with CT .Pathologically confirmed 55 cases of adrenal tumors and 2 of cysts ,13 of hematoma with follow‐up .The results were analyzed and compared with ultrasound or CT individual inspection .Re‐sults The diagnosis accuracy of adrenal lesions by ultrasound with CT ,only ultrasound and CT ,were 88 .6% ,62 .8% and 72 .9% , 14 pheochromocytoma ,13 myelolipoma ,including 15 adenoma ,5 cortical carcinoma ,2 NHL ,6 metastalic tumor ,2 cysts ,13 hemato‐ma .There was a significant difference between two methods (P<0 .05) .Conclusion The combination of ultrasound and CT could improve accuracy greatly in diagnosis of adrenal lesions .