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目的 提高肾错构瘤手术前的诊断准确性。方法 结合外科手术后病理 ,回顾性分析 3 8例肾错构瘤的影像学诊断特征。结果 B超、CT、选择性肾动脉造影诊断肾错构瘤准确性高。 3 8例行B超检查 ,3 4例诊断为肾错构瘤 ;3 8例行CT检查 ,3 2例诊断为肾错构瘤 ;3 8例行IVP检查 ,仅 2例诊断为错构瘤。结论 B超、CT是肾错构瘤的首选检查方法 ,诊断准确率高 ,必要时可行选择性肾动脉造影。
Objective To improve the diagnostic accuracy of renal hamartoma before operation. Methods Combined with the postoperative pathological changes, the diagnostic features of 38 cases of renal hamartoma were analyzed retrospectively. Results B-ultrasound, CT, selective renal artery angiography diagnosis of renal hamartoma with high accuracy. 38 routine B ultrasound examination, 34 cases of renal neoplasm diagnosis; 38 routine CT examination, 32 cases were diagnosed as renal hamartoma; 38 routine IVP examination, only 2 cases were diagnosed as hamartoma . Conclusions B-ultrasound and CT are the first choice of renal hamartoma. The diagnostic accuracy is high, and if necessary, selective renal artery angiography is feasible.