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目的:对比分析肾癌患者的螺旋CT征象与病理之间的关系。方法:回顾性分析我院收治的经手术病理证实的80例肾癌患者的临床资料,所有患者在手术前均采用螺旋CT进行平扫加多期增强扫描,最后将CT征象和病理进行对比分析。结果:肾癌细胞的排列方式和CT增强效果之间有明显的关联,肿瘤周边的短毛刺征和病理上的肾包膜有无侵犯也具有相关性;而肾癌细胞类型和肾癌CT分型之间没有明显的关联。结论:螺旋CT能够很好地显示肿瘤细胞的影像学特征,对于肾癌而言,其CT征象和病理细胞类型以及结构有着密切的联系。
Objective: To compare and analyze the relationship between spiral CT signs and pathology in patients with renal cell carcinoma. Methods: The clinical data of 80 cases of renal cell carcinoma confirmed by surgery and pathology in our hospital were retrospectively analyzed. All patients underwent plain-scan and multi-phase enhanced scan before operation. CT findings and pathology were compared . Results: There was a significant correlation between the arrangement of renal cancer cells and CT enhancement. The short-haired spine around the tumor was also correlated with the presence or absence of pathological renal capsule invasion. However, the type of renal cell carcinoma and the CT score There is no obvious correlation between types. Conclusion: Spiral CT can display the imaging features of tumor cells well. For the patients with renal cell carcinoma, CT signs are closely related to the type and structure of pathological cells.