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85例小儿肾母细胞瘤的螺旋CT诊断

The Value of CT Diagnosis for Nephroblastoma in Children
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摘要 目的:探讨螺旋CT对小儿肾母细胞瘤的诊断价值,便于指导临床治疗。方法:分析85例经手术、病理证实为肾母细胞瘤的CT表现。结果:肾母细胞瘤单侧多见,双侧少见,多发于肾脏上极,也可全部,常表现为强化不明显的实性肿块,瘤内常有坏死、囊变、出血,少数有钙化,典型CT表现为残存肾实质呈新月形强化。本组术前定性诊断准确率为93%。结论:螺旋CT检查能准确显示肾母细胞瘤的大小、形态、密度、侵犯的范围及转移情况,很好地评价对侧肾脏的情况,对肿瘤分期、指导临床制定治疗方案及估计预后有重要的意义。 Objective To evaluate diagnostic Value of CT scan for nephroblastoma in children.Methods Eighty-five patients with pathologically confirmed nephroblastoma were analizd retrospectively for their CT scans with and without contrast enhancement.Results The tumor seemed to likely envolve the unilateral kidney but bilateral lesion was also observed.Polar envolvement of the kidney was seen in most of the cases though whole kidney envolvement was also the case.The tumour appeared usually a poorly enhanced solid mas...
作者 车能雨
出处 《湖南师范大学学报(医学版)》 2008年第4期46-49,共4页 Journal of Hunan Normal University(Medical Sciences)
关键词 小儿 肾母细胞瘤 X线计算机体层摄影 诊断 children nephroblastoma tomography X-ray computer
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