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超声造影与增强CT对肾癌的诊断分析
引用本文:陈松华,杨斌,卢光明.超声造影与增强CT对肾癌的诊断分析[J].医学影像学杂志,2011,21(9):1382-1385.
作者姓名:陈松华  杨斌  卢光明
作者单位:1. 南京军区南京总院超声诊断科 江苏南京211131
2. 南京军区南京总院影像诊断 科江苏南京211131
摘    要:目的:本研究旨在比较超声造影(CEUS)和增强CT(CECT)在肾癌病灶中的诊断价值,探讨超声造影在肾癌的诊断价值。方法:对54例患者临床诊断为肾脏内占位性病灶进行CEUS和CECT检查,通过分析病灶CEUS和CECT的特点,比较两种方法的诊断效能。结果:54个病灶中34个为肾脏恶性肿瘤,20个为肾脏良性病灶,CEUS和CECT诊断敏感性、特异性、准确性、阳性预测值、阴性预测值分别为97.05%、85.0%、92.59%、91.67%、94.44%与91.18%、80.00%、87.04%、88.57%、84.21%。两种方法诊断差异无统计学意义(P>0.05)。结论:分析比较CEUS和CECT在诊断肾癌过程中,两种方法诊断效能无明显差异,均能为临床诊断提供重要依据,但CEUS对微循环灌注方面及假包膜的观察优于CECT;CEUS定量评价肾肿瘤血管现处于动物实验阶段,临床上特异指标的找寻仍有待于进一步研究。

关 键 词:超声造影  体层摄影术  X线计算机  肾癌

A comparison analysis of contrast-enhanced ultrasonography and contrast-enhanced computed-tomography in the diagnosis of renal lesions
CHEN Song-hua,YANG Bin,LU Guang ming.A comparison analysis of contrast-enhanced ultrasonography and contrast-enhanced computed-tomography in the diagnosis of renal lesions[J].Journal of Medical Imaging,2011,21(9):1382-1385.
Authors:CHEN Song-hua  YANG Bin  LU Guang ming
Institution:CHEN Song-hua1,YANG Bin1,LU Guang-ming21.Department of Ultrasound,Nanjing General Hospital of Nanjing Military Command,PLA,Nanjing 211131,P.R.China2.Department of Medical Image,P.R.China
Abstract:Objective:Compared contrast-enhanced ultrasound(CEUS) with contrast-enhanced CT(CECT) in diagnosis of renal lesions,this study was to evaluate the diagnostic value of contrast-enhanced ultrasound in renal lesions.Methods:A total of 54 patients underwent CEUS and CECT respectively.The diagnostic efficiency of two techniques were compared by evaluating features of different phase.Results:Of 54 renal lesions,34 lesions were malignant and 20 were benign.Overall,the diagnostic sensitivity,specificity,diagnostic ...
Keywords:Contrast-enhanced ultrasound  Contrast-enhanced CT  Renal lesion  
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