| 螺旋CT动态增强扫描在肾癌亚型诊断中的应用 |
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| 引用本文： | 张社年,周俊林,何宁,毛俊杰,白亮彩,赵建洪,李晓呜. 螺旋CT动态增强扫描在肾癌亚型诊断中的应用[J]. 中国临床医学影像杂志, 2009, 20(7): 523-526 |
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| 作者姓名： | 张社年 周俊林 何宁 毛俊杰 白亮彩 赵建洪 李晓呜 |
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| 作者单位： | 兰州大学第二医院,甘肃,兰州,730030 |
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| 基金项目： | 甘肃省科学事业费科研项目 |
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| 摘 要： | 目的：探讨肾癌螺旋CT动态增强扫描表现，提高诊断水平。方法：回顾性分析72例经手术病理证实的肾脏恶性肿瘤CT动态增强扫描资料，其中肾细胞癌57例，依据WHO病理分类包括透明细胞癌38例、乳头状癌10例、嫌色细胞癌8例、梭形细胞癌1例。比较平扫、皮髓质期、肾实质期及排泄期各型肾癌的强化程度及强化模式。结果：3种肾癌在平扫的CT值无统计学差异。在增强扫描皮髓质期、肾实质期及排泄期，透明细胞癌的CT值均高于乳头状癌和嫌色细胞癌（P值分别为0.01、0.01和0.03），而后二者在增强各期均无统计学差异。均匀强化最常见于嫌色细胞癌，不均匀强化最常见于透明细胞癌。结论：螺旋CT动态增强扫描鉴别透明细胞癌与非透明细胞癌有应用价值，同时在肾癌的鉴别诊断上具有重要意义，可用于在术前指导治疗方案的制定。
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| 关 键 词： | 肾肿瘤；体层摄影术 螺旋计算机 |
| 收稿时间： | 2008-11-10 |
The application of dynamic enhanced spiral CT in the diagnosis of renal cell carcinoma |
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| ZHANG Yi-nian,ZHOU Jun-lin,HE Ning,MAO Jun-jie,BAI Liang-cai,ZHAO Jian-hong,LI Xiao-ming. The application of dynamic enhanced spiral CT in the diagnosis of renal cell carcinoma[J]. Journal of China Clinic Medical Imaging, 2009, 20(7): 523-526 |
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| Authors: | ZHANG Yi-nian ZHOU Jun-lin HE Ning MAO Jun-jie BAI Liang-cai ZHAO Jian-hong LI Xiao-ming |
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| Affiliation: | The Second Hospital of Lanzhou University;Lanzhou 730030;China |
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| Abstract: | Objective:To investigate the signs of renal cell carcinoma(RCC), and improve the imaging diagnosis of renal malignant neoplasm with multi-phase dynamic enhancement CT scanning.Materials and Methods:The multi-phase contrast enhanced helical CT scan data of 72 patients with surgical-pathologically proved renal malignant neoplasm were analyzed retrospectively.Fifty-seven cases of RCC, confirmed by pathological techniques, according to WHO classification, these included 38 clear cell carcinomas, 10 papillary, 8... |
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| Keywords: | Kidney neoplasms Tomography spiral computed |
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