单发小肾癌超声与CT对照性研究-影像医学与核医学专业论文.docx

— — PAGE 2— 新疆医科大学医学硕士学位论文 Comparison of Ultrasonography and Computed Tomographic on The solid small renal cell Carcinoma Postgraduate:Wan Jing Supervisor:Yao Lanhui Associate Professer Abstract Objective:To investigate the sonographic appearance of single small (≤3 cm ) renal cell carcinoma (RCC) and analyze reason of missed diagnosis by comparing with computed tomographic appearance. Methods:50 lesions in 50 patients with the single solid small renal cell carcinoma were detected by transabdominal ultrasonography(US)and computed tomographic(CT),the results of them,as well as the pathological examination of the resected renal sngpecimen were compared and followed up.To explore the sonographic appearance of single small renal cell carcinonma and ananly the renson of missed diagnosis. Result: The detecting rate of US of carcinomas diameter less than 1.5cm much lower than that of CT.The detecting rate of US of carcinom diameter 1.5-3.0cm is no statistics different with CT. In the diagnosis of the single solid small renal rell carcinoma diameter 1.5-3.0cm,the sensitivity,specificity,diagnostic accuracy rate,positive and negative predictive value were Kappa=0.77 P=0.000 for US.The sonographic characteristic apperance of RCC is surrounding low echo-leve accoustic halo and sourrounding bullky bloodstream signal.The CT characteristic apperence of RCC is heterogeneous density and enhancement. Conclusion:The detecting rate of carcinoma diameter less than 1.5cm is very low (47.1%),but carcinoma diameter 1.5-3.0cm of the sensitivity and specificity is higher. The sonographic characteristic apperance of RCC is surrounding low echo-leve accoustic halo and sourrounding bullky bloodstream signal. The missed diagnosis reason is inner echo sinilitude and fewer of no blood flow signal. Key Word:Ultrasonography; renal cell carcinoma;Computed Tomographic; 中英文缩略词对照表 英文缩写 英文全名 中文译名 US Ultrasonography 超声成像 CT Computed Tomographic 计算机断层数字成像 CDFI Color Doppler Flow Imaging 彩色多