[1]王 东.超声造影特征及定量参数在肾脏小肿瘤病理类型鉴别诊断中的应用[J].医学信息,2020,33(13):171-172.[doi:10.3969/j.issn.1006-1959.2020.13.054]
　WANG Dong.Application of Ultrasound Contrast Characteristics and Quantitative Parameters in the Differential Diagnosis of Pathological Types of Small Renal Tumors[J].Medical Information,2020,33(13):171-172.[doi:10.3969/j.issn.1006-1959.2020.13.054]
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超声造影特征及定量参数在肾脏小肿瘤病理类型鉴别诊断中的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年13期
页码:
171-172
栏目:
诊疗技术
出版日期:
2020-07-01

文章信息/Info

Title:
Application of Ultrasound Contrast Characteristics and Quantitative Parameters in the Differential Diagnosis of Pathological Types of Small Renal Tumors
文章编号:
1006-1959（2020）13-0171-02
作者:
王 东
（佳木斯市肿瘤医院超声科，黑龙江 佳木斯 154000）
Author(s):
WANG Dong
(Department of Ultrasound,Jiamusi Cancer Hospital,Jiamusi 154000,Heilongjiang,China)
关键词:
超声造影特征; 定量参数; 鉴别诊断; 肾脏小肿瘤; 病理类型
Keywords:
Ultrasound contrast characteristics; Quantitative parameters; Differential diagnosis;  Small renal tumors; Pathological types
分类号:
R445.1；R737.11
DOI:
10.3969/j.issn.1006-1959.2020.13.054
文献标志码:
A
摘要:
目的 研究超声造影特征及定量参数在肾脏小肿瘤病理类型鉴别诊断中的应用价值。方法 选取2018年8月~2019年8月我院诊治的94例肾脏小肿瘤患者为研究对象，比较不同病理类型[肾透明细胞癌（RCC）、肾乳头状细胞癌（PRCC）、肾嫌色细胞癌（CRCC）、血管平滑肌脂肪瘤（AML）]肾脏小肿瘤超声造影特征、定量参数及不同病理类型肾脏小肿瘤与肾皮质间的超声造影量化。结果 RCC、PRCC、CRCC、AML肾脏小肿瘤灌注模式、增强程度、消退方式比较，差异有统计学意义（P＜0.05）；强化类型、边缘强化比较，差异无统计学意义（P＞0.05）；AML、RCC、PRCC定量参数上升支斜率（K）比较，差异有统计学意义（P＜0.05）；AML、RCC、CRCC定量参数曲线下面积（AUC）比较，差异有统计学意义（P＜0.05）；AML、RCC、PRCC、CRCC定量峰值强度（A）、达峰时间（Ttopk）、梯度（Grad）比较，差异无统计学意义（P＞0.05）。结论 灌注模式、增强程度、消退方式以及超声造影量化参数可为临床鉴别诊断肾脏小肿瘤病理类型提供参考依据。
Abstract:
Objective To study the value of ultrasound contrast characteristics and quantitative parameters in the differential diagnosis of pathological types of small renal tumors.Methods A total of 94 patients with small renal tumors diagnosed and treated in our hospital from August 2018 to August 2019 were selected as the research objects, and different pathological types [renal clear cell carcinoma (RCC), renal papillary cell carcinoma (PRCC), and kidney coloring were compared Cellular carcinoma (CRCC), vascular smooth muscle lipoma (AML)] features and quantitative parameters of ultrasonography of small renal tumors and ultrasonographic quantification of different pathological types of small renal tumors and renal cortex.Results There was a statistically significant difference in the comparison of perfusion pattern, degree of enhancement, and regression mode of small renal tumors in RCC, PRCC, CRCC, and AML (P＜0.05); the type of enhancement and marginal enhancement showed no statistically significant difference (P＞0.05); AML , RCC, PRCC quantitative parameter ascending branch slope (K) comparison, the difference was statistically significant (P＜0.05); AML, RCC, CRCC quantitative parameter area under the curve (AUC), the difference was statistically significant (P＜0.05) ; AML, RCC, PRCC, CRCC quantitative peak intensity (A), peak time (Ttopk), gradient (Grad) comparison, the difference was not statistically significant (P＞0.05).Conclusion The perfusion pattern, degree of enhancement, regression method and quantitative parameters of ultrasound contrast can provide a reference for the clinical differential diagnosis of small renal pathology.

参考文献/References:

[1]张智,赵子卓,阮镜良,等.超声造影、增强CT及增强MRI对肾脏占位性病变的诊断价值比较[J].中国医学影像学杂志,2014,23(10):764-767.[2]忻小洁,张晟,穆洁.超声造影在鉴别诊断小肾癌与缺乏型肾错构瘤中的应用价值[J].中华泌尿外科杂志,2016,37(6):436-439.[3]潘宏,聂芳,董甜甜,等.肾透明细胞癌的超声造影特点与肿瘤侵袭性的关系[J].中国超声医学杂志,2016,32(5):447-450.

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更新日期/Last Update: 1900-01-01