目的探讨彩超对肾周围脂肪层肿瘤的观察。方法应用三维彩超对20例肾周围肿瘤进行检查,并经手术后病理证实。结果肾周围脂肪瘤13例,肾错构瘤1例,肾上腺髓样脂肪瘤6例。结论多普勒彩超对肾周围脂肪层肿瘤的诊断和鉴别诊断都达到了较高的水平,可作为肾周围疾病的首选诊断方法之一。 Objective To investigate the effect of color Doppler ultrasound on fatty neoplasms around the kidney. Methods Twenty cases of peritumoral neoplasms were examined by 3D color Doppler ultrasound and confirmed by pathology. Results Peripheral lipoma in 13 cases, renal hamartoma in 1 case, adrenal myeloid lipoma in 6 cases. Conclusion Doppler ultrasound in the diagnosis and differential diagnosis of fatty neoplasms around the kidney have reached a high level, which can be used as one of the first choice for the diagnosis of renal disease.