摘要
目的比较囊性肾癌的超声造影与增强CT扫描诊断价值。方法选取2016年1月至2017年12月在我院进行超声造影检查的30例肾囊性病变患者的病灶作为研究对象。对30例患者病灶的能量多普勒超声、超声造影、增强CT扫描结果具体表现进行分析,通过对不同影像学诊断资料以及病理随访结果进行分析对照,进而判断不同检查方法对囊性肾癌的诊断效能。结果 30例患者中,有16例患者出现了囊性肾癌病症,另外14例患者检查结果为肾囊肿病症。能量多普勒超声检查对囊性肾癌病灶的敏感度、特异度、准确度分别为43.76%(7/16)、57.14%(8/14)、50.00%(15/30),增强CT检查分别为69.23%(9/13)、66.67%(4/6)、68.42%(13/19),超声造影检查分别为100.00%(16/16)、64.29%(9/14)、83.33%(25/30)。在检查过程中使用对比剂有助于将超声检测的准确度从原有的50.00%提升至83.33%。结论在囊性肾癌诊断过程中,充分利用超声造影技术能够进一步提升诊断的准确度,具有较高的临床应用价值。
Objective To compare the value of contrast-enhanced ultrasound(CEUS) and contrast-enhanced CT scan in the diagnosis of cystic renal carcinoma. Methods A total of 30 patients with renal cystic lesions who underwent contrast-enhanced ultrasound examination in our hospital from January 2016 to December 2017 were selected as research objects. The results of energy Doppler ultrasonography, contrast-enhanced ultrasound and enhanced CT were analyzed in 30 cases. According to the study of patients’ cases and follow-up, cystic renal carcinoma was found in 16 of the 30 patients and renal cyst was found in the other 14 patients. In this study, the diagnostic ability and efficacy of different examination methods for cystic renal carcinoma were determined by statistical analysis and comparison of various imaging diagnostic data, patients’ pathology and follow-up results. Results The 30 patients, 16 patients developed cystic renal carcinoma and 14 patients showed renal cyst. During the diagnosis of cystic renal carcinoma lesions, the sensitivity, specificity, accuracy and accuracy of energy Doppler ultrasonography were 43.76%(7/16), 57.14%(8/14), and 50.00%(15/30), respectively, enhanced CT examination results were 69.23%(9/13), 66.67%(4/6), 68.42%(13/19), respectively, the final results of CEUS were 100.00%(16/16), 64.329%(9/14) and 83.33%(25/30), respectively. The use of contrast agents during the examination can help improve the accuracy of ultrasonic detection from the original 50.00% to 85.73.33%. Conclusion In the diagnosis of cystic renal carcinoma, the full use of contrast-enhanced ultrasound technology can further improve the diagnostic accuracy and accuracy, often has a very high value of promoting clinical application.
作者
李晓姝
LI Xiaoshu(Department of Ultrsound,Central Hospital Affiliated to Shenyang Medical College,Shenyang 110023,China)
出处
《中国医药指南》
2021年第2期42-43,46,共3页
Guide of China Medicine
关键词
囊性肾癌
超声检查
对比剂
增强CT扫描
诊断效能
Cystic renal carcinoma
Ultrasound examination
Contrast agent
Enhanced CT scan
Diagnostic efficiency
