李钧,周晓东,罗二平,韩增辉,张民,郑敏娟,王莉.实时超声造影诊断肾脏肿瘤的应用研究[J].中国医学影像技术,2006,22(4):591~593
实时超声造影诊断肾脏肿瘤的应用研究
Study on diagnosis of renal tumors by real-time contrast-enhanced ultrasonography
投稿时间:2005-11-04  修订日期:2005-12-26
DOI:
中文关键词:  超声检查  造影剂  肾脏肿瘤
英文关键词:Ultrasonography  Contrast media  Renal neoplasms
基金项目:
作者单位E-mail
李钧 第四军医大学西京医院超声诊断科,陕西 西安 710032  
周晓东 第四军医大学西京医院超声诊断科,陕西 西安 710032 Zhouxd@fmmu.edu.cn 
罗二平 第四军医大学生物医学工程系,陕西 西安 710032  
韩增辉 第四军医大学西京医院超声诊断科,陕西 西安 710032  
张民 第四军医大学西京医院超声诊断科,陕西 西安 710032  
郑敏娟 第四军医大学西京医院超声诊断科,陕西 西安 710032  
王莉 第四军医大学西京医院超声诊断科,陕西 西安 710032  
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中文摘要:
      目的 探讨不同病理类型肾脏肿瘤的造影特点,评价超声造影诊断肾脏肿瘤的应用价值。方法 对40例超声诊断为肾脏占位病变或可疑肾脏占位病变的患者应用新型声学造影剂声诺维进行超声造影检查,结果与病理对比。结果 30例肾肿瘤大部分与其正常肾组织回声等强,多数肾恶性肿瘤的造影显像与其正常肾组织同步,多数肾良性肿瘤造影显像为"同进慢出";6例肾柱肥大造影后与正常肾组织造影剂显像一致;4例肾囊肿内无造影剂显示。结论 实时超声造影对肾脏肿瘤的诊断和鉴别诊断具有一定的实用价值。
英文摘要:
      Objective To evaluate the application of real-time contrast-enhanced ultrasonography (CEUS) in the diagnosis and differential diagnosis of renal tumors. Methods Forty cases were examined by pulse subtraction contrast-enhanced ultrasonography with a bolus injection of SonoVue. All cases were confirmed by pathology. Results After the administration of SonoVue, most of the 30 renal tumors showed isoechoic with respect to the surrounding normal tissues. Most malignant renal tumors had the same enhancement pattern with respect to the surrounding normal tissues. Most benign renal tumors wash in at the same time but wash out slowly comparing with surrounding normal tissues. There was no outline appearance during the whole process in the 6 cases of renal columnar hypertrophy. And CEUS showed lack of enhancement in 4 renal cysts. Conclusion The real-time CEUS can reveal renal tumors, which is a useful technique in differentiating renal cystic lesions from solid ones.
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