CT和彩色多普勒超声对肾上腺皮质癌的定性及定位诊断价值探讨

Qualitative and Positioning Diagnosis Values of CT and Doppler Ultrasonography to the Inspection of Adrenocortical Carcinoma

目的分析并探讨CT和彩色多普勒超声对肾上腺皮质癌的定性及定位诊断价值。方法对该院107例肾上腺皮质癌患者进行CT检查与彩色多普勒检查,主要观察肾上腺区肿块的范围、密度、强化情况与肿块位置、大小、形态、边界、回声、血流情况,分析并比较CT检查与彩色多普勒检查对肾肿瘤的定位、定性价值。结果 CT与彩色多普勒检查对肾上腺皮质癌定位诊断的准确率比较差异无统计学意义(P>0.05),但CT对肾上腺皮质癌定性诊断的准确率明显高于彩色超声多普勒检查,差异具有统计学意义(P<0.05)。结论超声检查作为诊断肾上腺肿瘤的重要的影像学检查方法,对功能性肾上腺皮质癌与无功能性肾上腺皮质癌的定性与定位诊断效果较好,而在定性诊断方面,CT检查更优于彩色多普勒超声检查。

Objective Analyze and make a research of the qualitative diagnosis and positioning diagnosis value of CT and Color Doppler Ultrasonography to the inspection of Adrenocortical Carcinoma. Methods We did CT and Color Doppler Ultrasonography inspection to 107 Adrenocortical Carcinoma patients coming to our hospital. The inspection focuses on the scope, density, strengthening situation of the lump in the area of adrenal gland and the lump’s position, size, shape, boundary, echo and blood-flowing situation. This paper will analyze and compare Qualitative Diagnosis and Positioning Diagnosis Value of CT and Color Doppler Ultrasonography to Adrenocortical Carcinoma. Results The positioning diagnosis accuracy rate of CT and Color Doppler Ultrasonography to Adrenocortical Carcinoma has no significant differences (P > 0.05), but the qualitative diagnosis accuracy rate of CT to Adrenocortical Carcinoma is obviously higher than that of the Color Doppler Ultrasonography. This difference has the statistical significance (P < 0.05). Conclusion As one important imageological method for the inspection of Adrenocortical Carcinoma, ultrasonic inspection has great qualitative and positioning diagnosis effect for functional Adrenocortical Carcinoma and non-functional Adrenocortical Carcinoma, but in the respect of qualitative diagnosis, CT inspection is better than Color Doppler Ultrasonography inspection.