多层螺旋CT动态增强扫描结合血管造影对肾癌术前评估价值探讨

The Value of Multi-slice CT with Enhanced CT Scan Combined with Angiography on the Diagnosis and Assessment for Renal Carcinoma Preoperation

[目的]探讨多层螺旋CT增强扫描结合血管造影对肾癌术前评估的价值。[方法]回顾性分析临床手术病理证实为肾癌患者46例,所有患者均行多层螺旋CT,将CT征象与手术病理结果对照,比较CT各影像学征象及血管受累情况与手术病理证实结果间有无统计学差异。[结果]各CT影像学征象及血管受累情况与手术病理结果之间均无明显统计学差异(P>0.05)。[结论]多层螺旋CT动态增强扫描结合血管造影能够准确判断肾癌累及周围组织及血管情况,具有较高的术前评估价值。

[Purpose] To explore the value of multi-slice CT with enhanced CT scan combined with angiography in the diagnosis and assessment for renal carcinoma preoperation. [Methods] Forty-six patients with renal carcinoma pathologically proved were analyzed retrospectively. Multi-slice CT scan was contrasted to pathologic results.[Results] There was no significant dif- ference between the result of multi-slice CT combined with angiography and pathologic result. [Conclusion] Multi-slice CT with enhanced CT scan and angiography can accurately diagnose the renal carcinoma and assess the vessels or peripheral tissues involved.