中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
6期
932-933
,共2页
肾血管平滑肌脂肪瘤%超声诊断%影像分析%回声
腎血管平滑肌脂肪瘤%超聲診斷%影像分析%迴聲
신혈관평활기지방류%초성진단%영상분석%회성
Renal vascular smooth muscle lipoma%Ultrasound diagnosis%Image analysis%Echo
目的：分析我院2011年1月~2012年12月间诊治的肾血管平滑肌脂肪瘤(RAML)患者超声诊断特点及结果。方法：回顾性分析36例RAML患者多普勒超声影像特征,患者俯卧位和侧卧位,行双肾扫描,二维超声观察和记录肿瘤的大小、形态、边界、轮廓、回声、肿瘤与周围脏器关系等,彩色多普勒观察肿瘤血供、肾动脉、肾静脉情况和分析相关参数。结果：36例患者共检查出RAML 46枚,二维声像图显示高回声36枚,低回声5枚,混合回声5枚；彩色多普勒显示瘤体最大直径<4.0 cm的27枚肿瘤病灶内及周边均未见明显的血流信号；瘤体最大直径>4.0cm的19枚肿瘤,2枚病灶内及周边未见明显血液信号,17枚病灶内可见少许条状或星点状的血流信号。结论：超声检测RAML具有重要的临床意义,其主要依据RAML的病理类型产生不同的影像学结果,临床诊断还应注意与肾癌的声像结果区分。
目的：分析我院2011年1月~2012年12月間診治的腎血管平滑肌脂肪瘤(RAML)患者超聲診斷特點及結果。方法：迴顧性分析36例RAML患者多普勒超聲影像特徵,患者俯臥位和側臥位,行雙腎掃描,二維超聲觀察和記錄腫瘤的大小、形態、邊界、輪廓、迴聲、腫瘤與週圍髒器關繫等,綵色多普勒觀察腫瘤血供、腎動脈、腎靜脈情況和分析相關參數。結果：36例患者共檢查齣RAML 46枚,二維聲像圖顯示高迴聲36枚,低迴聲5枚,混閤迴聲5枚；綵色多普勒顯示瘤體最大直徑<4.0 cm的27枚腫瘤病竈內及週邊均未見明顯的血流信號；瘤體最大直徑>4.0cm的19枚腫瘤,2枚病竈內及週邊未見明顯血液信號,17枚病竈內可見少許條狀或星點狀的血流信號。結論：超聲檢測RAML具有重要的臨床意義,其主要依據RAML的病理類型產生不同的影像學結果,臨床診斷還應註意與腎癌的聲像結果區分。
목적：분석아원2011년1월~2012년12월간진치적신혈관평활기지방류(RAML)환자초성진단특점급결과。방법：회고성분석36례RAML환자다보륵초성영상특정,환자부와위화측와위,행쌍신소묘,이유초성관찰화기록종류적대소、형태、변계、륜곽、회성、종류여주위장기관계등,채색다보륵관찰종류혈공、신동맥、신정맥정황화분석상관삼수。결과：36례환자공검사출RAML 46매,이유성상도현시고회성36매,저회성5매,혼합회성5매；채색다보륵현시류체최대직경<4.0 cm적27매종류병조내급주변균미견명현적혈류신호；류체최대직경>4.0cm적19매종류,2매병조내급주변미견명현혈액신호,17매병조내가견소허조상혹성점상적혈류신호。결론：초성검측RAML구유중요적림상의의,기주요의거RAML적병리류형산생불동적영상학결과,림상진단환응주의여신암적성상결과구분。
Objective:To analyze our hospital from January 2011 to December 2012, the diagnosis and treatment of renal angiomyolipoma (RAML) the ultrasound diagnostic characteristics of patients and the results.Methods:A retrospective analysis of 36 cases RAML patients with Doppler ultrasound image characteristics,patients prone position and lateral position,line renal scan,two-dimensional ultrasound observation and recording of tumor size,shape,border,contour,echo,tumor and surroundingorgan relations,color Doppler observation of tumor blood supply,renal artery,renal vein and analysis of relevant parameters.Results:36 patients were examined RAML 46 Mei,a two-dimensional sonogram shows 36 hyperechoic,hypoechoic,5,5 mixed echo;Color Doppler shows the maximum diameter of the tumor <4.0cm 27 tumor lesions.There were no significant blood flow signal in and around;tumor maximum diameter of>4.0cm and 19 tumors,two lesions in and around no significant blood signal,17 intralesional visible little strip or Star points like bloodstream signal. Conclusion:Ultrasonic testing RAML has important clinical significance,its mainly based on the the RAML pathological type of imaging results,and clinical diagnosis should also be noted that the distinction between with kidney cancer audiovisual results.
