论文部分内容阅读
目的比较CEUS与CECT对不同病理分期及分级CCRCC的诊断价值。方法分析83例经病理证实为CCRCC(共87个)的CEUS及CECT诊断结果,与TNM病理分期、Fuhrman病理分级结果进行比较,统计并进行一致性检验。结果 CEUS与CECT对不同TNM病理分期及Fuhrman分级CCRCC的诊断效能均无统计学差异(P>0.05),具有中度一致性(Kappa=0.577,P<0.000 1)。TNM病理分期及分级不同,两者的诊断效能一致性不同,T1a期一致性最低(Kappa=0.290,P=0.039),T1b期及Ⅲ级一致性最高(Kappa=1,P<0.0001)。结论不同TNM病理分期及Fuhrman分级CCRCC,CEUS与CECT的诊断效能一致性不同。CEUS与CECT联合应用,能为CCRCC的诊断,尤其是低分期及低分级CCRCC的诊断,提供更多依据。
Objective To compare the diagnostic value of CEUS and CECT in different pathological stages and grade CCRCC. Methods The CEUS and CECT results of 83 cases with pathologically confirmed CCRCC (total 87) were analyzed. The results were compared with the TNM pathological stage and Fuhrman pathological grading results, and the results were consistent with the results of the consistency test. Results CEUS and CECT had no significant difference in the diagnostic efficacy between different TNM pathological stages and Fuhrman grade CCRCC (P> 0.05), with a moderate agreement (Kappa = 0.577, P <0.0001). TNM pathological staging and grading of different diagnostic efficacy of the two different consistency, T1a phase consistency lowest (Kappa = 0.290, P = 0.039), T1b and Ⅲ highest consistency (Kappa = 1, P <0.0001). Conclusions The diagnostic efficacy of different TNM pathological staging and Fuhrman grading CCRCC, CEUS and CECT are different. The combination of CEUS and CECT can provide more basis for the diagnosis of CCRCC, especially for the diagnosis of low-grade and low-grade CCRCC.