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郑州大学第一附属医院宋东奎等发表在《中华泌尿外科杂志》上的一项研究证明,多层螺旋CT(SCT)检查诊断肾癌准确性较高,是术前评估肾癌分型和分期的较理想手段之一。该研究对64例肾癌患者的术前肾脏SCT资料和术后病理结果进行了回顾性分析,患者平均年龄54岁。通过平扫期、皮髓期CT值及强化模式,依据2005年CUA制定标准对肾癌进行分期分型,并与术后病理结果进行对比。SCT检查发现,透明细胞癌38例、乳头状癌14例、嫌色细胞癌12例;病理结果发现,透明细胞癌40例、乳头状癌16例、嫌色细胞癌8例;肾癌SCT与病理的分型和分期结果无明显差异,SCT分型和分期准确性分别为88%和89%。
First Affiliated Hospital of Zhengzhou University, Song Dongkui et al published in the “Journal of Urology,” a study shows that multi-slice spiral CT (SCT) diagnosis of renal cell carcinoma is more accurate, preoperative evaluation of renal cell carcinoma and staging One of the more ideal means. The study of 64 cases of renal cell carcinoma patients with preoperative renal SCT data and postoperative pathological findings were analyzed retrospectively, the average age of 54 patients. The renal cell carcinoma was staged according to the standard established by CUA in 2005, which was compared with the postoperative pathological results through the CT value and enhancement mode of the periodontal phase and the skin marrow phase. SCT examination revealed 38 cases of clear cell carcinoma, 14 cases of papillary carcinoma and 12 cases of chromophobe carcinoma. The pathological findings showed that there were 40 cases of clear cell carcinoma, 16 cases of papillary carcinoma and 8 cases of chromophobe carcinoma. SCT and The pathological classification and staging results were no significant differences, SCT classification and staging accuracy were 88% and 89%.