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目的：探讨超声、C T及超声联合C T三者在肾上腺占位病变的诊断价值。方法：收集2005年1月至2015年3月在本院发现肾上腺占位性病变患者，共72例，所有患者均同时行64排螺旋C T及彩超检查，检查后行穿刺活检及病理学诊断。结果：各影像学手段在检测肾上腺占位性病变方面比较，以组织病理学诊断为金标准，超声与C T检测比较，差异无统计学意义（Z=-0.50， P=0.62＞0.05）；超声与超声+CT检测比较，差异有显著性统计学意义（Z=-2.94，P=0.00＜0.01）；CT与超声+CT检测比较，差异有统计学意义（Z=-2.13，P=0.03＜0.05）；超声+CT与病理学检查比较，差异无统计学意义（Z=-1.64，P=0.10＞0.05）；从漏诊率方面，超声+CT检测明显优于超声与CT检测。结论：超声+CT的联合运用可以显著提高肾上腺占位性病变的诊断率，降低漏诊率。“,”ObjectiveTo investigate the diagnostic value of ultrasound, CT and combined CT in adrenal lesions.Methods Collected from January 2005 to 2015 march in the Institute found that adrenal space occupying lesions of the patients was 72 cases, all patients were at the same time, 64 slice spiral CT and color Doppler ultrasound examination and underwent biopsy and pathological diagnosis.Results:Each imaging method in the detection of adrenal space occupying lesions, compared to the histopathological diagnosis of gold standard. Ultrasound and CT detection, the difference was not statistically significant (Z=-0.50 (P = 0.62 > 0.05); ultrasound and ultrasound + CT detection compared with statistical significance (Z=-2.94,P = 0.00 < 0.01); CT and ultrasonography + CT detection compared with statistical significance (Z=-2.13,P 0.05); from the missed diagnosis rate, ultrasonic + CT is superior to ultrasound and CT in detecting.Conclusion The combined application of ultrasonic +CT can improve the diagnosis rate of adrenal lesions, and reduce the rate of missed diagnosis.