彩超对肾脏囊性病变的鉴别诊断价值
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[摘要] 目的：探讨彩色多普勒超声在肾脏囊性病变鉴别诊断中的价值。方法：对临床和病理证实的4例囊性肾癌，8例肾脓肿，2例肾包虫，3例肾结核，30例肾囊肿的二维超声及彩色多普勒超声表现进行了分析，对每例病灶的大小、形态、边界、囊壁回声、囊液回声、囊内分隔及彩色血流的有无、性质进行比较。结果：二维超声和彩色多普勒超声可以反映肾脏囊性病变的结构特征及血流特征。囊性肾癌中，囊壁、囊壁结节及分隔内检出血流信号，囊内出现分隔、囊壁有结节的比例显著高于肾脓肿、肾结核和肾囊肿。结论：二维超声或囊壁结节上检出血流信号对囊性肾癌的诊断有很高的敏感性。
[关键词] 彩色多普勒超声；囊性肾癌；肾囊肿
[中图分类号]R445.1 [文献标识码]B [文章编号]1673-7210(2008)08(c)-120-02
Evaluation of color doppler ultrasonography in differential diagnosis of renal cystic disease
WANG Hong-chun,JIA Chang-shan
(Department ofUltrasonography,Miyun District Hospital,Miyun 101500,China)
[Abstract] Objective:To explore the evaluation of Color Doppler Ultrasonography in differential diagnosis of renal cystic disease.Methods:TheUltrasonographic finds of cystic renal cancer in 4 cases,renal cyst in 30 cases, renal tuberculosis in 3 cases,nephropyosis in 8 cases,renal hydatid in 2 cases were analyzed.Compared with each other in size,shape,edge, echo of cyst wall and cyst water,intracapsular membrane,blood flood ......
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