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小肾癌螺旋CT诊断和鉴别诊断
引用本文:徐恒昀,卢定友.小肾癌螺旋CT诊断和鉴别诊断[J].医学影像学杂志,2006,16(11):1159-1161.
作者姓名:徐恒昀  卢定友
作者单位:1. 江苏省阜宁县第二人民医院CT室,江苏,阜宁,224421
2. 江苏省盐城市第一人民医院CT室,江苏,盐城,224001
摘    要:目的:评价螺旋CT三期扫描在小肾癌诊断和鉴别诊断中的价值。方法:回顾性分析经手术、病理证实的8例小肾癌的CT表现特征。结果:8例小肾癌中,平扫6例呈低密度,稍高密度和等密度各1例。增强扫描皮质期6例全瘤范围明显强化,1例轻中度强化。1例小囊性肾癌,增强后皮质期囊壁及囊内分隔明显强化。实质期及肾盂期强化迅速减退,呈“快进快退”改变。结论:螺旋CT三期扫描对小肾癌定性诊断具有重要价值。

关 键 词:肾肿瘤  体层摄影术  X线计算机
文章编号:1006-9011(2006)11-1159-03
收稿时间:2006-05-20
修稿时间:2006-08-30

Spiral CT diagnosis and differential diagnosis of small renal carcinoma
XU Heng-yun,LU Ding-you.Spiral CT diagnosis and differential diagnosis of small renal carcinoma[J].Journal of Medical Imaging,2006,16(11):1159-1161.
Authors:XU Heng-yun  LU Ding-you
Abstract:Objective:To evaluate the value of triple-phase spiral CT in diagnosis and differential diagnosis of small renal carcinoma.Methods:The characteristics of the CT finding in 8 cases of small renal carcinoma by proved surgery and pathology,were analyzed retrospectively.Results:Among 8 cases of small renal carcinoma.6 cases show low density,1 cases shows high density and another shows isointense.In the cortical-phase,6 cases of entire tumor mass obvious enhancement by post-contrast CT scanning,1 case shows slight or middle enhancement.Cystic wall and interval of another cystic renal carcinoma has obvious enhancement in the corticomedullary-phase.Enhancement fast go down in parenchymalphase and pyelographic-phase,appearing"fast in and fast out".Conclusion:Triple-phase spiral CT has an important value in diagnosis and differential diagnosis of small renal carcinoma.
Keywords:Renal tumor  Tomography  X-ray computed
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