医学临床研究
  2025年6月13日 星期五           首 页    |    期刊简介    |    编委会    |    投稿指南    |    期刊订阅    |    广告合作    |    留言板    |    联系我们    |    English
医学临床研究  2019, Vol. 36 Issue (11): 2145-2147    DOI: 10.3969/j.issn.1671-7171.2019.11.020
  论著 本期目录 | 过刊浏览 | 高级检索 |
肾透明细胞癌患者CT影像学特征与生存状况相关性研究
刘伟, 席新龙
西安市第一医院,陕西 西安 255400
Correlation between CT Imaging Features and Survival Status of Renal Clear Cell Carcinoma
LIU Wei, XI Xin-long
Xi'an first hospital, Xi'an 255400
全文: PDF (0 KB)   HTML (1 KB) 
输出: BibTeX | EndNote (RIS)      
摘要 【目的】分析肾透明细胞癌患者的CT影像特征与患者术后生存状况。【方法】选取2015年7月至2017年7月本院收治的93例肾透明细胞癌患者,所有患者术前均行CT检查,术后进行病理检查,根据术后病理检查结果分为观察组(高级别肾透明细胞癌,n=37)和对照组(低级别肾透明细胞癌,n=56)。两组患者均采用GE Linght?speed 16 层螺旋CT仪进行平扫以及增强扫描。由两名影像科中级职称以上的医生采用双盲法对患者的CT检测结果进行分析。比较两组患者一般资料,主要包括:性别、年龄、肿瘤位置、肿瘤分期。比较两组患者的肿瘤大小、肿瘤有无分叶、出血情况、坏死情况、包膜情况、CT值等影像特征。随访时间为1~5年,比较两组患者中死亡、转移、生存结果。【结果】两组患者在性别、年龄、肿瘤位置等资料比较,差异无统计学意义(P>0.05)。观察组患者T2期以上患者比例高于对照组,差异有统计学意义(P<0.05)。两组患者在最大直径、是否可见分叶、各时期增强扫描CT值以及出血坏死情况等方面比较,差异无统计学意义(P>0.05)。对照组平扫CT值低于观察组,包膜完整情况高于观察组,差异有统计学意义(P<0.05)。对照组患者存活率低于观察组患者,差异有统计学意义(P<0.05)。【结论】高级别透明肾细胞癌患者包膜往往不完整、平扫CT值高,提示患者肿瘤恶化程度高,与患者预后关系密切。
服务
把本文推荐给朋友
加入我的书架
加入引用管理器
E-mail Alert
RSS
作者相关文章
刘伟
席新龙
关键词 腺癌, 透明细胞肾肿瘤体层摄影术, 螺旋计算机预后    
Abstract【Objective】To analyze the CT features and postoperative survival status of patients with renal clear cell carcinoma. 【Methods】From July 2015 to July 2017, 93 patients with renal clear cell carcinoma were selected. All patients underwent CT examination before operation and pathological examination after operation. According to the results of postoperative pathological examination, they were divided into observation group (high-grade renal clear cell carcinoma, n=37) and control group (low-grade renal clear cell carcinoma, n=56). The patients in both groups were scanned with GE Linght?speed 16 slice spiral CT. The results of CT examination were analyzed by two doctors with intermediate title or above in imaging department. The general data of the two groups were compared, mainly including: gender, age, tumor location, tumor stage. The tumor size, lobulation, hemorrhage, necrosis, capsule and CT value of the two groups were compared. The follow-up time was 1~5 years. The results of death, metastasis and survival were compared between the two groups. 【Results】There was no significant difference in sex, age, tumor location between the two groups (P>0.05). The proportion of patients above T2 in the observation group was higher than that in the control group, the difference was statistically significant (P<0.05). There was no significant difference in maximum diameter, lobulation or none, CT value of enhanced scan in each periodand and bleeding necrosis , etc between the two groups (P>0.05).The CT value of the control group was lower than that of the observation group, and the integrity of the capsule was higher than that of the observation group (P<0.05). The survival rate of the control group was lower than that of the observation group (P<0.05). 【Conclusion】The capsule of high-grade clear renal cell carcinoma is often incomplete, and the CT value of plain scan is high, which indicates that the degree of tumor deterioration is high, which is closely related to the prognosis of patients.
Key wordsAdenocarcinoma, Clear Cell    Kidney Neoplasms    Tomography, Spiral Computed    Prognosis
收稿日期: 2018-05-25     
PACS:  R737.11  
通讯作者: E-mail:3010595665@qq.com   
引用本文:   
刘伟, 席新龙. 肾透明细胞癌患者CT影像学特征与生存状况相关性研究[J]. 医学临床研究, 2019, 36(11): 2145-2147.
LIU Wei, XI Xin-long. Correlation between CT Imaging Features and Survival Status of Renal Clear Cell Carcinoma. JOURNAL OF CLINICAL RESEARCH, 2019, 36(11): 2145-2147.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.11.020     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I11/2145
版权所有 © 2013 医学临床研究杂志社  湘ICP备13012052号-1
办公地址:湖南省长沙市芙蓉区新军路43号煤炭大院主办公楼6楼621、623、632、636室 邮编:410011 电话(传真):0731-84824007 E-mail:jcr_cs.hn@vip.163.com
技术支持:北京玛格泰克科技发展有限公司 技术支持:support@magtech.com.cn