摘要
目的 提高肾脏良性占位病变的术前诊断及鉴别诊断水平。方法 对 1 5年来收治 37例肾占位病变患者的临床资料与B超、CT、彩超之表现进行分析总结。 结果 肾脏良性占位病变占肾实性占位病变的 1 4 %。B超、CT可对 70 %的良性占位病变作出术前诊断 ,B超、CT及彩超对92 %的良性占位病变有提示诊断的意义。 结论 随着B超、CT的普及 ,肾脏良性占位病变检出率呈上升趋势。B超、CT及彩超联合检查可对绝大多数肾良性占位病变在术前作出诊断和提示 ,结合术前穿刺或术中冰冻活检可与肾癌相鉴别 。
Objective To evaluate the preoperative diagnosis of benign space occupying lesions of kidney. Methods The clinical data of 37 cases of benign space occupying lesions of kidney encountered in the recent 15 years were reviewed.The B ultrasonographic,CT and Doppler ultrasonographic findings were evaluated. Results Preoperative diagnosis has been made in 70% of the 37 cases on B ultrasonography and CT.The accurate preoperative diagnosis rate elevated to 92% with the combined use of B ultrasonography,CT and Doppler ultrasonography.Benign space occupying lesions consisted of 14% of the total solid masses in the kidney. Conclusions Most of the benign space occupying lesions of kidney could be diagnosed preoperatively with the combined use of B ultrasonography,CT and Doppler ultrasonography.Preoperative aspiration biopsy or frozen section pathological study during operation might be undertaken if nece ssary so as to avoid unnecessary radical nephrectomy.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2000年第5期271-273,共3页
Chinese Journal of Urology