CAJ | 학술논문

目的：探讨小肾癌螺旋CT的图像特征及误诊原因分析。方法回顾性分析经临床手术病理确诊的56例小肾癌患者的螺旋CT图像特征，并对误诊患者的原因予以总结。结果螺旋CT扫描影像表现正确诊断52例，全部经术后病理证实，正确诊断率为92．9％（52／56），2例误诊为错构瘤、2例被误诊为复杂肾囊肿。结论螺旋CT在小肾癌的定性和定位的临床诊断及鉴别中有重要参考价值，可以提高小肾癌的检出率，是小肾癌影像学诊断的准确可靠的方法。
목적：탐토소신암라선CT적도상특정급오진원인분석。방법회고성분석경림상수술병리학진적56례소신암환자적라선CT도상특정，병대오진환자적원인여이총결。결과라선CT소묘영상표현정학진단52례，전부경술후병리증실，정학진단솔위92．9％（52／56），2례오진위착구류、2례피오진위복잡신낭종。결론라선CT재소신암적정성화정위적림상진단급감별중유중요삼고개치，가이제고소신암적검출솔，시소신암영상학진단적준학가고적방법。
Objective To investigate the image characteristics and the causes of misdiagnosis of small renal cell carcinoma with spiral CT.Methods The spiral CT image characteristics of 56 patients with small renal cell car-cinoma confirmed by the clinical operation of pathological diagnosis was retrospectively analyzed,and the causes of misdiagnosis were summarized.Results 52 cases with small renal cell carcinoma were diagnosed correctly by spiral CT scanning images,all were proved by pathology after the operation,the correct diagnosis of spiral CT rate was 92.9%(52/56 ),2 cases were misdiagnosed as hamartoma,2 cases were misdiagnosed as complex renal cyst. Conclusion Spiral CT has important reference value in clinical diagnosis and differential diagnosis of spiral CT in qualitative and positioning of small renal cell carcinoma,can improve the detection rate of small renal cell carcinoma, which is an accurate and reliable method of diagnosis of small renal imaging.