摘要
目的对小儿肾母细胞瘤(WT)的超声图像进行分析探讨,以期提高超声在该疾病早期诊断的准确性。方法从2017年12月—2018年12月在郑州大学附属儿童医院进行治疗的WT患儿中,选取29例进行回顾性分析,所有患儿病情均经手术和病理证实,在术前对患儿进行超声检测,将超声诊断结果和病理结果进行对比。结果在29例患儿中,单侧和双侧发病分别为27例、2例;在肾盂、肾实质和肾盏内发现肿块,形状为分叶状、团块状;囊性、囊实性以及实性分别为3个、25个、3个,其中有6个瘤体内出现斑点状钙化;超声显示低速高阻血流信号,共有7例患儿伴发血栓,其中,下腔静脉血栓3例,同侧肾静脉血栓4例。结论通过超声检测,可了解WT的相关情况,并可准确诊断出下腔静脉血栓和肾静脉血栓,可为临床WT疾病治疗提供可靠依据。
Objective To analyze and discuss the ultrasonographic images of nephroblastoma in children in order to improve the accuracy of ultrasonography in the early diagnosis of this disease.Methods 29 cases of nephroblastoma in the hospital from December, 2017 to December,2018 were selected and analyzed retrospectively.All cases were confirmed by operation and pathology.Ultrasound examination was performed before operation,and the results of ultrasound diagnosis and pathology were compared.Results Among the 29 cases,27 cases were unilateral and 2 cases were bilateral.Tumors were found in the renal pelvis,renal parenchyma and calyx,which were lobulated and mass-shaped.Cystic and solid tumors were 3,25 and 3,of which 6 had punctate calcification.Ultrasound showed low-speed and high-obstructive blood flow signals,and 7 cases had thrombosis,including inferior vena cava.There were 3 cases of thrombosis and 4 cases of ipsilateral renal vein thrombosis.Conclusion Ultrasound examination can help us to understand the related situation of nephroblastoma and accurately diagnose inferior vena cava thrombosis and renal venous thrombosis.It can provide reliable basis for clinical treatment of nephroblastoma.
作者
陈慧敏
殷一铭
赵晓宁
CHEN Hui-min;YIN Yi-ming;ZHAO Xiao-ning(Department of Ultrasound Medicine,Children’s Hospital Affiliated to Zhengzhou University/Henan Children’s Hospital/Zhengzhou Children’s Hospital,Zhengzhou,450000,China)
出处
《黑龙江医学》
2019年第7期783-784,共2页
Heilongjiang Medical Journal
关键词
肾母细胞瘤
超声检查
超声图像
特点分析
Nephroblastoma
Ultrasound examination
Ultrasound image
Characteristic analysis
