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[肾肿瘤的超声断层扫描。诊断价值(作者译)]

[Echotomography of renal tumours. Diagnostic value (author's transl)].

作者信息

Plainfossé M C, Mercier-Pageyral B, Owczarczak W, Bacques O

出版信息

Nouv Presse Med. 1980 Jan 26;9(5):295-8.

PMID:6243772
Abstract

One hundred tumours were detected by IV urography and studied by echotomography. In 37 cases, a nephrotomography was performed and in 65 cases a renal arteriogram. The reliability of these three examinations was analysed. Three calcified masses were impossible to analyse by echography and required arteriography from the outset. There were two false negatives related to an error of interpretation and not to any defect in the echography. With regard to the 3 calcified masses, no better information was obtained by nephrotomography. Four necrosed carcinomas were erroneously identified as cysts. Four carcinomas were missed at arteriography. The reliability of echotomography was good apart from in cases of small carcinomas (less than 2 cm) and calcified masses. It proved to be more reliable than nephrotomography and arteriography. By contrast, it was less selective since there were false positive results in 13% of cases.

摘要

通过静脉尿路造影检测出100个肿瘤,并采用超声断层扫描进行研究。37例进行了肾断层扫描,65例进行了肾动脉造影。分析了这三种检查的可靠性。有3个钙化肿块无法通过超声检查进行分析,从一开始就需要进行动脉造影。有2例假阴性与解释错误有关,而非超声检查存在任何缺陷。对于这3个钙化肿块,肾断层扫描未获得更好的信息。4例坏死性癌被错误地诊断为囊肿。动脉造影遗漏了4例癌。除了小癌(小于2厘米)和钙化肿块外,超声断层扫描的可靠性良好。事实证明,它比肾断层扫描和动脉造影更可靠。相比之下,它的选择性较差,因为13%的病例存在假阳性结果。

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