CAJ | 학술논문

目的提高对囊性肾癌的认识和临床诊治水平。方法对我院6例误诊为肾囊肿的囊性肾癌患者的临床表现、彩超及CT特点以及病理学特征、手术方式进行分析。结果6例患者术前均行彩超及CT检查,误诊为肾囊肿4例,2例不能明确诊断,可疑肾囊肿；术中冰冻为囊性肾癌5例,肾囊肿1例；4例行后腹腔镜下根治性肾切除术,1例行后腹腔镜下肾部分切除术,1例先行后腹腔镜下肾囊肿去顶减压,后又行根治性肾切除术。结论熟悉掌握囊性肾癌的影像学特点及临床特征是提高囊性肾癌诊断率、减少误诊的关键。
목적제고대낭성신암적인식화림상진치수평。방법대아원6례오진위신낭종적낭성신암환자적림상표현、채초급CT특점이급병이학특정、수술방식진행분석。결과6례환자술전균행채초급CT검사,오진위신낭종4례,2례불능명학진단,가의신낭종；술중빙동위낭성신암5례,신낭종1례；4례행후복강경하근치성신절제술,1례행후복강경하신부분절제술,1례선행후복강경하신낭종거정감압,후우행근치성신절제술。결론숙실장악낭성신암적영상학특점급림상특정시제고낭성신암진단솔、감소오진적관건。
Objective: To improve the knowledge and clinical diagnosis and treatment of cystic renal cell carcinoma. Methods: analysis the clinical, ultrasound and CT features and pathological features, surgical approach of six cases of cystic renal cell carcinoma which misdiagnosed as renal cysts. Results: six patients underwent preoperative ultrasonography and CT scan misdiagnosed four cases of renal cysts, two cases can not confirm the diagnosis, as suspected renal cysts; intraoperative frozen results were five cases of cystic renal cell carcinoma, one renal cysts; 4 cases retroperitoneal laparoscopic radical nephrectomy surgery, one case laparoscopic renal after partial nephrectomy, one case after first laparoscopic renal cyst to top the reduced pressure,and then underwent radical nephrectomy. Conclusion: The familiar grasp the imaging features and clinical features of cystic renal cell carcinoma is the key to improve the diagnosis rate of cystic renal cell carcinoma, reduce misdiagnosis.