小肾癌的诊断方法比较(附40例报告)

Comparison of the methods used in the diagnosis of small renal cell careinoma(Report of 40 cases)

目的:探讨小肾癌的较好诊断方法,比较B超检查、IVP和(或)逆行肾盂造影检查、CT扫描及选择性肾动脉造影诊断小肾癌的临床价值。方法:回顾性分析40例小肾癌患者的临床资料。结果:无任何临床症状而经体检偶然发现者26例(65.0%),有血尿6例(15.0%),腰痛5例(12.5%),血尿并腰痛2例,因慢性肾功能不全经B超检查发现1例。40例接受B超检查,诊断准确率为87.55%;29例接受IVP或逆行肾盂造影检查,诊断准确率为44.83%;38例接受CT检查,诊断准确率为94.76%。结论:B超、CT及肾动脉造影综合影像诊断技术成为目前诊断小肾癌的主要手断。

Objective,To evaluate the clinical diagnostic value of ultrasound against IVU and/or RGU and CT scan along with DSA in the diagnosis of small renal cell carcinoma . Methods：Clinical data of 40 cases of small renal cell careinoma were retrospectively analyzed. Results, In this group, 26 cases without clinical symptom were acci dentally found in physical examination. The correct diagnostic rate of ultrasound was 87% （95/40） ,the correct diagnostic rate of IVU and/or RGU was 44 % （83/29）and CT was 94 % （76/38）. Condusions： The widely use of ultrasound and CT scan improves greatly the diagnostic rate of small renal cell carcinoma.