|本期目录/Table of Contents|

[1]单 琨,李常颖.超声和CT检查对于肾上腺区占位性病变的诊断价值对比分析[J].天津医科大学学报,2014,20(04):306-308.
　SHAN Kun,LI Chang-ying.Comparative analysis on ultrasound and CT examination of adrenal area space-occupying lesions[J].Journal of Tianjin Medical University,2014,20(04):306-308.
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超声和CT检查对于肾上腺区占位性病变的诊断价值对比分析(PDF)
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
20卷
期数:
2014年04期
页码:
306-308
栏目:
临床医学
出版日期:
2014-07-08

文章信息/Info

Title:
Comparative analysis on ultrasound and CT examination of adrenal area space-occupying lesions
文章编号:
1006-8147（2014）04-0306-03
作者:
单 琨; 李常颖
(天津医科大学第二医院碎石中心，天津市泌尿外科研究所，天津 300211)
Author(s):
SHAN Kun;  LI Chang-ying
(Department of Lithotripsy Centre ,The Second Hospital ， Tianjin Medical University, Tianjin Institute of Urology, Tianjin 300211,China)
关键词:
肾上腺区占位性病变; 超声; CT; 诊断
Keywords:

adrenal space occupying lesions;  ultrasonography;  computed tomography;  diagnose

分类号:
R445
DOI:
-
文献标志码:
A
摘要:
目的：对比分析超声和CT两种检查方法对肾上腺区占位性病变定位和定性诊断的应用价值。方法：回顾分析481例肾上腺区占位性病变，男220例、女261例，左侧213例、右侧260例,双侧8例，术前进行肾上腺超声和CT检查，以术后病理检查结果为标准比较两种方法定位和定性诊断的有效性。结果：病理结果源于肾上腺的皮质腺瘤285例，嗜铬细胞瘤56例，囊肿51例，髓样脂肪瘤26例，神经纤维瘤6例，神经鞘瘤3例，节细胞性神经瘤12例，结核3例，脓肿1例，平滑肌瘤3例，肉瘤1例，神经母细胞瘤1例，腺癌5例。肾脏囊肿2例，肾脏肿瘤22例，副脾2例，腹膜后平滑肌瘤和神经母细胞瘤各1例。超声定位诊断准确率95.4%，CT定位诊断准确率93.6%（χ2 =1.617，P=0.203），差异比较无统计学意义；超声定性诊断率64.7%,CT为89.6%（χ2 =83.721，P=0.000），差异比较有统计学意义。结论：肾上腺区占位性病变超声定位诊断价值基本等同于CT，定性诊断价值远低于CT。
Abstract:

Objective: To compare localizations of adrenal area neoplasm by ultrasound and CT imaging and their qualitative diagnosis effects. Methods:  There were 481 cases of adrenal area neoplasm, male 220, female 261, in which 213 cases were on the left, 260 cases on the right and 8 on each. All patients underwent preoperative ultrasonography and CT examination and the results compared with postoperative pathological diagnosis. Results: Pathological results were obtained from: adrenal cortical adenoma in 285 cases, 56 cases of pheochromocytoma, 51 cases of cyst, medullary lipoma 26 cases, 6 cases of nerve fibroma, schwannoma in 3 patients, 12 cases ganglion cells of glioma, 3 cases of TB, abscess in 1 case, 3 cases were leiomyoma, sarcoma 1 case, neuroblastoma in 1 cases and adenocarcinoma in 5 cases. Renal cyst 2 cases, 22 cases of kidney tumor, 2 cases of accessory spleen, retroperitoneal leiomyoma and neuroblastoma 1 cases. The accuracy rate of ultrasound diagnose was 95.4% while CT was 93.6% (χ 2 =1.617, P=0.203). No significant differences were observed between them; ultrasound diagnosis rate was 64.7% while CT was 89.6% (χ 2 =83.721, P=0.000) and the difference was statistically significant. Conclusion: Ultrasound localization diagnosis on adrenal tumors is equivalent to CT while its qualitative diagnosis is far less effective .

参考文献/References:

[1] 戴珂珂,兰莉,李惠敏,等.肾上腺肿瘤声像图特点与病理的相关性[J]. 温州医学院学报,2008,38(6):526

[2] Little A F. Adrenal gland and renal sonography[J].World J Surg,2000,24:171

[3] Friedrich-Rust M,Schneider G,Bohle RM,et al.Contrast-enhanced sonography of adrenal masses:differentiation of adenomas and nonadenomatous lessions[J]. AJR Am J Roentgenol,2008,191(6):1852

[4] Trojan J, Schwarz W, Sarrazin C,et al.Role of ultrasonography in the detection of small adrenal masses[J].Ultraschall Med,2002,23(2):96

[5] 沈世华 李建卫 唐力.彩色多普勒超声对肾上腺区肿瘤的诊断价值(附54例分析)[J],福建医药杂志.2010,32(5):109

[6] 林振湖,林礼务,薛恩生,等.彩色多普勒超声对肾上腺肿瘤的诊断价值[J].中华医学超声杂志(电子版),2006,3(6):339

[7] 王正滨,张春华,王建红,等.肾上腺恶性肿瘤的超声显像定位与定性诊断价值[J].中华超声影像学杂志,2004,13(9):693

[8] Mantero F,Terzolo M,Arnaldi G,et a1．A survey On adrenal incidentaloma in Italy．Study Group on Adrenal Tumors of the Italian Society of Endocrinology[J].J Clin Endocrinol Metab,2000,85(2):637

[9] Fassnacht M,K enn W,A llolio B. Adrenal tumors: how to establish malignancy[J].Endocrinol Invest,2004,27(4):387

[10] Friedrich-Rust M, Schneider G, Bohle R M, et al.Contrast-enhanced sonography of adrenal masses:differentiation of adenomas and nonadenomatous lesions[J]. AJR Am J Roentgenol,2008,191(6):1852

[11] 臧国礼,黄品同,乔洪波,等.超声造影增强模式在肾上腺肿瘤鉴别诊断中的临床价值[J].中华超声影像学杂志,2012,21(9):794

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备注/Memo

备注/Memo:

作者简介 单琨（1976-），女，主治医师，硕士，研究方向：泌尿系统超声；E-mail:shankun1976@126.com。

更新日期/Last Update: 2014-06-06