【摘 要】
：
本文对７６例柯兴氏综合征患者的超声诊断进行了分析研究，在７６例中有７９个肾上腺经外科手术探查，其中超声检出肿瘤４６个，手术探出肿瘤５１个，均经病理证实，超声无假阳性。但有假阴性（右３、左２，均为同侧
【机 构】
：
上海第二医科大学附属瑞金医院超声科，上海第二医科大学附属瑞金医院泌尿外科
论文部分内容阅读
本文对７６例柯兴氏综合征患者的超声诊断进行了分析研究，在７６例中有７９个肾上腺经外科手术探查，其中超声检出肿瘤４６个，手术探出肿瘤５１个，均经病理证实，超声无假阳性。但有假阴性（右３、左２，均为同侧肿瘤各漏诊１个）。本组的敏感性、特异性和诊断正确率分别为９０．１９％、１００％和９３．８２％。阳和阴性预期值分别为１００％和８５．７１％。本文对柯兴氏综合征超声诊断的临床意义及漏诊原因进行了较为详细的讨论。
In this paper, 76 cases of Cushing’s syndrome in patients with ultrasound diagnosis were analyzed in 76 cases, 79 adrenals by surgical exploration, of which 46 were detected by ultrasound, 51 tumors were surgically identified, were pathologically confirmed , No false positive ultrasound. However, false negative (right 3, left 2, all missed the ipsilateral tumor 1). The sensitivity, specificity and diagnostic accuracy of this group were 90.19%, 100% and 93.82% respectively. The expected positive and negative values were 100% and 85.71%, respectively. In this paper, the clinical significance of Cushing’s syndrome ultrasound diagnosis and causes of missed diagnosis were discussed in more detail.
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