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[目的]探讨多层螺旋CT增强扫描结合血管造影对肾癌术前评估的价值。[方法]回顾性分析临床手术病理证实为肾癌患者46例,所有患者均行多层螺旋CT,将CT征象与手术病理结果对照,比较CT各影像学征象及血管受累情况与手术病理证实结果间有无统计学差异。[结果]各CT影像学征象及血管受累情况与手术病理结果之间均无明显统计学差异(P>0.05)。[结论]多层螺旋CT动态增强扫描结合血管造影能够准确判断肾癌累及周围组织及血管情况,具有较高的术前评估价值。
[Objective] To evaluate the value of multislice spiral CT enhanced angiography in preoperative assessment of renal cell carcinoma. [Methods] Retrospective analysis of 46 cases of renal cell carcinoma confirmed by clinical pathology, all patients underwent multi-slice spiral CT, the CT signs and surgical pathology results were compared, CT imaging features and vascular involvement and surgical pathology confirmed the results There is no statistical difference between. [Results] There was no significant difference between CT imaging signs and vascular involvement and pathological findings (P> 0.05). [Conclusions] Multi-slice spiral CT dynamic contrast-enhanced scanning combined with angiography can accurately determine the involvement of renal carcinoma in surrounding tissues and blood vessels, which has a high preoperative evaluation value.