探讨超声造影在肾脏良、恶性病变鉴别诊断中的应用价值
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摘要
目的讨论在肾脏良、恶性病变鉴别诊断中应用超声造影的临床应用价值。方法选取2015年5月-2016年5月,我院接收的肾脏占位性病变患者65例,进行实时超声造影检查,储存并对图像进行定量分析,测定造影剂到达时间、达峰时间,廓清时间、峰值强度与自身肾皮质对照。结果 65例患者中恶性病变34例,其中快进快退型有26例,快进慢退型有3例,慢进慢退型5例;良性病变31例,其中肾血管平滑肌瘤慢进慢退型有4例,2例峰值强度较低;不典型囊肿病变区均无肾皮质增强表现;肾柱细胞均无结节样表现,肥大脊柱与肾皮质等增强。结论超声造影能够直观地反应肾脏病变的血流灌注特点,对于肾脏良、恶性病变的诊断具有积极意义。
Objective To discuss the clinical value of contrast-enhanced ultrasonography in the differential diagnosis of benign and malignant renal lesions. Methods From May 2015 to May 2016, 65 cases of renal spaceoccupying lesions were collected and analyzed by real-time contrast-enhanced ultrasonography. The time of arrival, peak time and clearance of contrast agent were measured, to control time, peak intensity and renal cortical. Results Among the 65 patients, 34 cases were malignant, including 26 cases of fastforward and fast-withdrawing, 3 cases of fast-forward and slow-withdrawing, 5 cases of slow-slow and slow-withdrawing; 31 cases of benign lesions, including renal angiomyolipoma There were 4 cases of slow-withdrawing, 2 cases of low peak intensity; atypical cystic lesions were no renal cortical enhancement performance; renal column cells showed no nodular-like performance, hypertrophy of the spine and renal cortex increased. Conclusion Contrastenhanced ultrasonography can directly reflect the blood perfusion characteristicsof renal lesions,which is of positive significance in the diagnosis of benign and malignant renal lesions. It is worthy to be popularized in clinical practice.
Objective To discuss the clinical value of contrast-enhanced ultrasonography in the differential diagnosis of benign and malignant renal lesions. Methods From May 2015 to May 2016, 65 cases of renal spaceoccupying lesions were collected and analyzed by real-time contrast-enhanced ultrasonography. The time of arrival, peak time and clearance of contrast agent were measured, to control time, peak intensity and renal cortical. Results Among the 65 patients, 34 cases were malignant, including 26 cases of fastforward and fast-withdrawing, 3 cases of fast-forward and slow-withdrawing, 5 cases of slow-slow and slow-withdrawing; 31 cases of benign lesions, including renal angiomyolipoma There were 4 cases of slow-withdrawing, 2 cases of low peak intensity; atypical cystic lesions were no renal cortical enhancement performance; renal column cells showed no nodular-like performance, hypertrophy of the spine and renal cortex increased. Conclusion Contrastenhanced ultrasonography can directly reflect the blood perfusion characteristicsof renal lesions,which is of positive significance in the diagnosis of benign and malignant renal lesions. It is worthy to be popularized in clinical practice.
引文
[1]忻晓洁,毛怡然,李春香,等.超声造影在肾脏占位性病变诊断中的研究进展[J].中国肿瘤临床,2015,42(6):363-365.
[2]李鑫,梁萍,于晓玲,等.实时超声造影技术诊断肾脏实性占位病变的价值[J].南方医科大学学报,2014,34(6):890-895.
[3]张晟,王晓庆,忻晓洁,等.超声造影在肾脏良恶性病变诊断中的价值[J].中华肿瘤杂志,2013,35(5):382-385.
[4]李春香,姚欣,李秀英,等.超声造影对≤4cm肾脏良恶性病变的诊断价值[J].中国肿瘤临床,2011,38(9):520-523.
[5]张远鸿,任海红,骆玉辉,等.增强CT MRI及超声造影对肾脏占位性病变的诊断价值比较[J].浙江临床医学,2016,18(8):1388-1390.
[6]Johnson,K,Cianciolo R,Gessner RC,et al.A Pilot Study to Assess Markers of Renal Damage in the Rodent Kidney After Exposure to 7 MHz Ultrasound Pulse Sequences Designed to Cause Microbubble Translation and Disruption[J].Ultrasound Med Biol,2012,38(1):168-172.
[7]谭伟华,杨丹,荣亚妮,等.超声造影评价慢性肾小球肾炎治疗前后肾脏微循环改变[J].中国超声医学杂志,2013,29(7):626-629.
[8]程力.不同类型肾脏占位病变的超声造影特征及其诊断价值探讨[J].放射学实践,2016,31(1):89-92.
[2]李鑫,梁萍,于晓玲,等.实时超声造影技术诊断肾脏实性占位病变的价值[J].南方医科大学学报,2014,34(6):890-895.
[3]张晟,王晓庆,忻晓洁,等.超声造影在肾脏良恶性病变诊断中的价值[J].中华肿瘤杂志,2013,35(5):382-385.
[4]李春香,姚欣,李秀英,等.超声造影对≤4cm肾脏良恶性病变的诊断价值[J].中国肿瘤临床,2011,38(9):520-523.
[5]张远鸿,任海红,骆玉辉,等.增强CT MRI及超声造影对肾脏占位性病变的诊断价值比较[J].浙江临床医学,2016,18(8):1388-1390.
[6]Johnson,K,Cianciolo R,Gessner RC,et al.A Pilot Study to Assess Markers of Renal Damage in the Rodent Kidney After Exposure to 7 MHz Ultrasound Pulse Sequences Designed to Cause Microbubble Translation and Disruption[J].Ultrasound Med Biol,2012,38(1):168-172.
[7]谭伟华,杨丹,荣亚妮,等.超声造影评价慢性肾小球肾炎治疗前后肾脏微循环改变[J].中国超声医学杂志,2013,29(7):626-629.
[8]程力.不同类型肾脏占位病变的超声造影特征及其诊断价值探讨[J].放射学实践,2016,31(1):89-92.