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北京大学医院
纸质出版日期:2012,
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[1]李庆芬,赵丽雅,苏博,赵雅玲.肾肿瘤的彩色多普勒超声诊断价值探讨[J].保健医学研究与实践,2012,9(04):37-39.
LI Qing-fen, ZHAO Li-ya, SU Bo, et al. Discussion on the Value of Color Doppler Ultrasound in the Diagnosis of Kidney Tumor[J]. Health Medicine Research and Practice, 2012,9(4):37-39.
目的总结肾肿瘤的声像图特征
以期提高诊断正确率。方法对19例肾肿瘤的大小、位置、回声、内部血流信号进行观察
同时测量其收缩期峰值血流速度(Vs)、阻力指数(RI)。结果肾癌病灶直径不同
其内部回声类型也不同。彩色多普勒显示肾癌病灶多呈丰富血流型。彩超对肾肿瘤的定位诊断准确率为100%
经病理检查17例确诊为恶性肿瘤
彩超定性诊断准确率为78.9%。不同大小的肾肿瘤
其Vs及RI比较差异无统计学意义(p>0.05)。结论彩色多普勒超声对肾肿瘤有肯定的诊断价值
尤其是血流显像(CDFI)技术对肿瘤内血流分布的评价
在鉴别肾脏良、恶性肿瘤中起重要作用。对不典型病变需结合其他影像学检查、穿刺活检等明确诊断。
Objective To summarize sonographic features of kidney tumor so as to improve the rate of correct diagnosis.Method The size
location
echo and internal blood flow signal of kidney tumors in 19 cases were observed while the peak velocity of systolic blood flow(Vs) and resistance index(RI) were measured.Results Diameters of the nidi of renal carcinoma were different and types of their internal echo were different.Color doppler showed that most nidi of the renal carcinoma had rich blood flow.The accuracy of color doppler ultrasound in the topical diagnosis of kidney tumor was 100%
17 cases were diagnosed as having malignant tumor by pathological examination.And the accuracy of color doppler ultrasound in the etiologic diagnosis was 78.9%.Differences in Vs and RI of kidney tumor with different sizes had no statistical significance(p>0.05).Conclusion Color doppler ultrasound has affirmative value in the diagnosis of kidney tumor.Most important of all
the evaluation of color doppler flow imaging(CDFI) technology on the blood flow distribution in the tumor plays an important role in distinguishing benign kidney tumor and malignant kidney tumor from one another.Atypical pathological changes should be diagnosed by other imaging examinations
needle biopsy and the like.
肾肿瘤彩色多普勒声像图
Kidney tumorColor dopplerSonogram
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