囊性小肾癌与复杂性肾囊肿的CT影像学鉴别诊断分析.docVIP

囊性小肾癌与复杂性肾囊肿的CT影像学鉴别诊断分析 　　[摘要] 目的 研究依靠CT实施囊性小肾癌鉴别于复杂性肾囊肿的临床可行性，探讨其CT影像学差异。 方法 将2006年2月～2014年9月31例经由细胞学检查确诊的囊性小肾癌的患者纳入确诊组。36例初步诊断为囊性小肾癌但细胞学检查确诊为复杂性肾囊肿的患者纳入误诊组。两组均实施肾脏CT平扫及增强扫描。从囊壁增厚、囊壁结节、囊内分隔、肾实质内部与肾椎体的一致性四个方面实施诊断学鉴别。 结果 两组平扫影像显示其肾内病灶均系小体积低密度占位，且体积较小。确诊组囊壁增厚及 囊内分隔比率与误诊组差异无统计学意义（P0.05），确诊组囊壁结节及肾实质内部与肾锥体一致阳性率相比，差异有高度统计学意义（P0.01）。 结论 囊性小肾癌鉴别于复杂性肾囊肿在囊壁结节发生及肾实质内部与肾锥体一致性这两个方面有显著的CT影像学差异，因此应用CT对囊性小肾癌与复杂性肾囊肿进行鉴别诊断切实可行。 　　[关键词] 囊性小肾癌；复杂性肾囊肿；CT；鉴别诊断 　　[中图分类号] R737.11 [文献标识码] B [文章编号] 1673-9701（2015）31-0090-03 　　Analysis of CT in differential diagnosis of small cystic renal cell carcinoma and complex renal cysts 　　LIU Kui1 WEI Xiang2 WAGN Jinliang3 LI Tiantian3 　　1.Radiology Department， Xinhe Hospital in Henan Province， Xinyang 465200， China； 2.Radiology Department， Pingdingshan First Peoples Hospital in Henan Province， Pingdingshan 467021， China； 3.Radiology Department， Pingdingshan Fifth Peoples Hospital in Henan Province， Pingdingshan 467021， China 　　[Abstract] Objective To analyze CT in differential diagnosis of small cystic renal cell carcinoma and complex renal cysts. Methods From February 2006 to September 2014， 31 cases with small cystic renal cell carcinoma by cytology diagnosis were selected as diagnosis group， and 36 cases with misdiagnosis of small cystic renal cell carcinoma， and diagnosed with complex renal cysts by cytology diagnosis were selected as misdiagnosis group. All cases were implemented kidneys plain and enhanced CT scanning. Differential diagnosis was made through wall thickening， wall nodules， cyst separated and renal parenchyma and renal vertebral internal consistency. Results Image showed that renal lesions were small volume of low density mass， with smaller volumes. Wall thickening， cyst separated rates of diagnosis group showed no significant difference with misdiagnosis group（P0.05）. Wall nodules， renal parenchyma and renal vertebral internal consistency rates of diagnosis group showed significant difference with misdiagnosis group（P0.01