肾细胞癌多层螺旋CT影像诊断及鉴别诊断

Multi-slice spiral CT imaging diagnosis and differential diagnosis of renal cell carcinoma

目的:分析使用多层螺旋CT机对肾细胞癌进行影像诊断。方法:选取本院于2018年6月—2019年6月收治的确诊患有肾细胞癌的患者31例为研究对象,对其使用多层螺旋CT机进行检查,分析平扫结果,增强扫描结果及MRP与MIP的扫描结果。结果:10例患者存在肿块明显强化的情况,患者的肿块边界较为清晰,体积较大的肿块往往表现为形状的不规则,密度混杂不均匀,肿瘤可向轮廓外生长。肿块发生坏死囊变12例,密度均匀者7例,高密度与低密度混杂者5例。结论:使用多层螺旋CT对肾细胞癌进行检查,能够为诊断提供准确的检查技术,为确诊肾细胞癌提供有力的依据,应在临床中推广使用。

Objective To analyze the imaging diagnosis of renal cell carcinoma with multi-slice spiral CT.Methods 31 patients with renal cell carcinoma admitted to our hospital from June 2018 to June 2019 were selected as the study subjects.The patients were examined by multi-slice spiral CT.The results of plain scan,enhanced scan and MRP and MIP scan were analyzed.Results 10 patients had enhancement of mass.The boundary of the mass was clear,the larger mass often showed irregular shape,and there were external guard areas with substantial characteristics.Tumor could grow out of the contour.Low density liquefaction occurred in 12 patients,including 7 patients with uniform density.There were 5 patients with high density and low density.Conclusion Multi-slice spiral CT examination of renal cell carcinoma can provide accurate imaging technology for diagnosis and should be popularized in clinical practice.