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[当今肾脏肿瘤和囊肿的放射诊断]

[Present day radiation diagnosis of renal tumors and cysts].

作者信息

Vlasov P V, Kotliarov P M

机构信息

Moscow Scientific Research Institute of Diagnostics and Surgery MZ and MP RF.

出版信息

Vestn Rentgenol Radiol. 1997 May-Jun(3):35-47.

PMID:9199054
Abstract

The paper discusses the present-day radiation diagnosis of renal bulky formations: tumors and cysts. Based on the study of a great body of clinical data on 708 patients, the authors showed the potentialities of routine X-ray and currently available radiation techniques in the diagnosis of benign and malignant tumors and cysts of the kidney. Based on the data available in the literature and their own findings, the authors concluded that at the earliest stages of their preclinical development, tumors can be today diagnosed by a complete package of up-to-date diagnostic tools. Ultrasonic and computerized tomographies are of the highest informative value in diagnosing tumors and cystic formations. However, in some cases, a diagnosis is made via a routine excretory urography, angiography and needle biopsy. Excretory urography is of limited value for the diagnosis of renal bulky formations and it is used as an auxiliary mainly when a pathological process takes place in the renal hilus area. Angiography retains its significance as a supplementary technique. In the vast majority of cases, an accurate nosological diagnosis can be made on the basis of evaluation of the pattern of blood supply (the presence of abnormal vessels and their topographic features). The paper details the semiotics of a wide range of renal bulky processes by applying all currently available techniques of radiation diagnosis.

摘要

本文讨论了目前肾脏占位性病变(肿瘤和囊肿)的放射诊断。基于对708例患者大量临床资料的研究,作者展示了常规X线及现有放射技术在诊断肾脏良恶性肿瘤及囊肿方面的潜力。基于文献资料及自身研究结果,作者得出结论:在肿瘤临床前期发展的最早阶段,如今可通过一套完整的最新诊断工具进行诊断。超声和计算机断层扫描在诊断肿瘤及囊性病变方面具有最高的信息价值。然而,在某些情况下,诊断可通过常规排泄性尿路造影、血管造影及针吸活检进行。排泄性尿路造影对肾脏占位性病变的诊断价值有限,主要在肾门区发生病理过程时用作辅助检查。血管造影作为一种补充技术仍具有重要意义。在绝大多数情况下,通过评估血供模式(异常血管的存在及其形态特征)可做出准确的疾病诊断。本文通过应用所有现有的放射诊断技术详细阐述了多种肾脏占位性病变的影像学表现。

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