|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
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 .

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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