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目的探讨超声造影对小肾癌的诊断价值。方法通过对南京鼓楼医院泌尿外科2007年1月至2011年1月20例手术并经病理证实为小肾癌患者的临床资料进行回顾性分析,总结对比超声造影和CT两种方法对小肾癌的检出率。结果 20例患者中,超声造影诊断符合18例(90%),CT扫描诊断符合16例(80%)。在小肾癌的诊断中超声造影的检出率高于CT,两组检出率比较差异有统计学意义(P<0.05)。结论超声造影和CT对小肾癌的诊断均有一定价值,但是超声造影由于其高检出率,为小肾癌检查首选手段。
Objective To investigate the diagnostic value of contrast-enhanced ultrasound in the diagnosis of small renal cell carcinoma. Methods The clinical data of 20 patients with small renal cell carcinoma confirmed by pathology from January 2007 to January 2011 in Department of Urology, Nanjing Drum Tower Hospital were retrospectively analyzed. The contrast of contrast-enhanced ultrasound and CT in the diagnosis of small renal cell carcinoma The detection rate. Results Of the 20 patients, 18 cases (90%) were confirmed by contrast-enhanced ultrasound and 16 cases (80%) by CT scan. The detection rate of ultrasonography in small renal cell carcinoma was higher than that of CT, and the difference between the two groups was statistically significant (P <0.05). Conclusion Contrast-enhanced ultrasound and computed tomography have some value in the diagnosis of small renal cell carcinoma. However, CEUS is the first choice for small renal cell carcinoma because of its high detection rate.