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目的探讨256层螺旋CT在对囊性肾脏诊断中的应用价值。方法收集经手术病理证实的肾癌病例32例,其中囊性肾癌4例,术前均做CT平扫、CT增强,部分病例还做过MRI检查。回顾性分析影像表现。结果囊性肾癌占肾癌总数的12.5%,囊性病灶内有分隔,分隔及囊壁不均匀增厚,厚度大于1mm,并有不同程度强化。结论 256层螺旋CT对囊性肾癌的诊断价值极大,能很好地指导临床手术进行。对术前治疗方案的评估有很强的指导意义。
Objective To investigate the value of 256-slice spiral CT in diagnosis of cystic nephropathy. Methods Thirty-two cases of renal cell carcinoma confirmed by pathology were collected, including 4 cases of cystic renal cell carcinoma. All patients underwent CT scan and CT enhancement before operation. In some cases, MRI was performed. Retrospective analysis of imaging performance. Cystic renal cell carcinoma accounted for 12.5% of the total number of renal cell carcinoma, cystic lesions within the separation, separation and uneven wall thickening, thickness greater than 1mm, and with varying degrees of enhancement. Conclusion 256-slice spiral CT has a great value in the diagnosis of cystic renal cell carcinoma and can guide the clinical operation well. Evaluation of preoperative treatment programs have a strong guiding significance.