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为评价超声在肾错构瘤 (AML)诊断和治疗中的作用 ,我们通过经手术证实的 2 2例肾AML患者的声像图表现和病理组织学结果对比研究 ,探讨其超声分型和超声诊断与临床治疗的关系。结果 :(1 )声像图表现可分三型 :高回声型 (63 6% )、高低混杂回声型 (31 3% )、低回声型 (4 6% ) ;(2 )这种回声类型的不同可能与肿瘤大小、有无出血坏死、肿瘤构成成分及其种类和数量多少有关。结论 :(1 )表现为高回声型和呈洋葱片样图形者 ,超声有诊断价值 ;(2 )高低混杂回声型者超声可提示诊断 ,并能确定有无内出血和破裂 ,帮助治疗方案和术式选择 ;(3)AML也可表现为低回声型 ,酷似肾恶性肿瘤 ,必须结合临床、病史 ,与肾癌进行鉴别 ,必要时应做肾活检
To evaluate the role of ultrasound in the diagnosis and treatment of renal hamartoma (AML), we compared the sonographic findings and histopathological findings of 22 surgically-proven renal AML patients with ultrasound-typed and ultrasonographic Relationship between diagnosis and clinical treatment. Results: (1) There were three types of ultrasonography: high echo type (63.6%), high and low echo type (31.3%) and low echo type (46%); Different may be related to the size of the tumor, with or without hemorrhagic necrosis, tumor composition and the type and quantity of the tumor. Conclusion: (1) High echogenicity and onions slice-like graphics, ultrasound has diagnostic value; (2) high and low hybrid echogenic ultrasound can prompt diagnosis, and can determine the presence and absence of internal bleeding and rupture, to help treatment and surgery Type selection; (3) AML can also be expressed as hypoechoic, resembles a malignancy of the kidney, must be combined with clinical, medical history, and renal cell carcinoma to identify, if necessary, should be done renal biopsy