肾脏乏脂肪血管平滑肌脂肪瘤的CT表现-2019年精选文档.pdfVIP

肾脏乏脂肪血管平滑肌脂肪瘤的 CT表现 []Objective To explore the CT characteristics of renal angiomyolipomas with minimal fat ，thereby improving the understanding of this syndrome.Methods The CT findings of 13 cases of renal angiomyolipoma with minimal fat confirmed by surgery and pathology in our hospital from March 2011 to October 2016 were analyzed retrospectively.Results In this group of cases ，9 lesions were nearly-circular or round ；9 lesions showed exophytic growth ；8 lesions showed the V angle sign with the junction of renal parenchyma junction ；Cup change was detected with 2 lesions ；slightly high density was found with 8 lesions ；homogeneous enhancement was found with 8 lesions at renal parenchymal phase；6 lesions showed obvious enhancement ，3 lesions showed moderate enhancement ，4 lesions showed mild enhancement.Dynamic enhancement in 9 lesions was prolonged.Conclusion CT manifestations of renal angiomyolipomas with minimal fat have certain features.Aside from CT density ，morphological characteristics ，growth pattern ，enhancement level and enhancement pattern of the symptom are helpful for the diagnosis. 肾脏血管平滑肌脂肪瘤（ angioleiomyolipoma ，AML）是肾 脏最常见的良性肿瘤， 由不同比例的脂肪、 平滑肌和异常血管组 成。当 AML含有脂肪成分时，影像学特征明显，易于诊断，但当 脂肪含量少或无脂肪成分时， 其影像表现不典型， 与肾癌鉴别诊 断困难 [1-3] 。由于这两种疾病的治疗方式及预后完全不同，因 此准确鉴别两者显得极其重要 [2-4] 。为了减少误诊，提高对此 疾病的诊断， 从而进一步选择合理的手术方式， 本文回顾性分析 经术后病理确诊的乏脂肪型 AML的 CT表现。 1 资料与方法 1.1 一般资料 回顾性收集 2011 年 3 月～2016 年 10 月我院经手术病理证 实的 13 例乏脂肪性肾 AML，其中男 3 例，女 10 例；年龄 35～63 岁，平均（ 50.6 ±9.3 ）岁； 6 个病灶位于左肾， 7 个位于右肾； 10 例体检发现； 2 例腰痛， 2 例血尿