彩超对肾脏囊性病变鉴别诊断价值.docVIP

彩超对肾脏囊性病变鉴别诊断价值[摘要] 目的：探讨彩色多普勒超声在肾脏囊性病变鉴别诊断中的价值。方法：对临床和病理证实的4例囊性肾癌，8例肾脓肿，2例肾包虫，3例肾结核，30例肾囊肿的二维超声及彩色多普勒超声表现进行了分析，对每例病灶的大小、形态、边界、囊壁回声、囊液回声、囊内分隔及彩色血流的有无、性质进行比较。结果：二维超声和彩色多普勒超声可以反映肾脏囊性病变的结构特征及血流特征。囊性肾癌中，囊壁、囊壁结节及分隔内检出血流信号，囊内出现分隔、囊壁有结节的比例显著高于肾脓肿、肾结核和肾囊肿。结论：二维超声或囊壁结节上检出血流信号对囊性肾癌的诊断有很高的敏感性。 [关键词] 彩色多普勒超声；囊性肾癌；肾囊肿 [中图分类号]R445.1 [文献标识码]B [文章编号]1673-7210（2008）08（c）-120-02 Evaluation of color doppler ultrasonography in differential diagnosis of renal cystic disease WANG Hong-chun,JIA Chang-shan (Department ofUltrasonography,Miyun District Hospital,Miyun 101500,China) [Abstract] Objective:To explore the evaluation of Color Doppler Ultrasonography in differential diagnosis of renal cystic disease.Methods:TheUltrasonographic finds of cystic renal cancer in 4 cases,renal cyst in 30 cases, renal tuberculosis in 3 cases,nephropyosis in 8 cases,renal hydatid in 2 cases were analyzed.Compared with each other in size,shape,edge, echo of cyst wall and cyst water,intracapsular membrane,blood flood.Results:Two-dimensional and Color Ultrasonography are helpful in showing the characteristic of structure and blood flow.The signal of blood flow can be found in cystic wall.Node of cystic wall and intracapsular membrane of cystic renal cancer.The rate ofintracapsular membrane and node of cystic wall is higher than nephropyosis,renal tuberculosis and cystic renal disease. Conclusion: Two-dimensional Ultrasonography played an important role in Cystic Renal disease.The sensitivity of Color Doppler in diagnosing cystic renal cancer,if blood flow can be found in intracapsular membrane,node of cystic wall and cystic wall. [Key words] Color doppler ultrasonography;Cystic renal cancer;Renal cyst 肾脏囊性病变种类较多，但其临床治疗方法却不尽相同，因此，鉴别诊断有重要意义。本文就囊性肾癌、肾脓肿、肾包虫、肾结核和肾囊肿的声像图表现进行分析，旨在探讨彩超在这些疾病中的诊断价值。 1 资料与方法 1.1研究对象 本文对我院2000年7月～2007年7月在我科诊断的47例肾脏囊性病变的声像图进行了回顾性分析。其中，囊性肾癌4例，肾脓肿8例，肾包虫2例，肾结核3例，肾囊肿30例。囊性肾癌的诊断是通过超声引导下穿剌活检或手术证实的；肾脓肿是根据病史、临床症状及治疗反应确定的；肾包虫是根据病史、临床症状、Casoni试验及血清学检查确诊的；肾结核是根据临床症状