本文關(guān)鍵詞：MDCT對(duì)腎透明細(xì)胞癌Fuhrman分級(jí)診斷價(jià)值的研究　出處：《中國(guó)臨床醫(yī)學(xué)影像雜志》2017年07期 　論文類型：期刊論文

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【摘要】：目的:探討腎透明細(xì)胞癌(cc RCC)MDCT影像學(xué)表現(xiàn)與Fuhrman分級(jí)之間的關(guān)系。方法:回顧性分析113例經(jīng)手術(shù)病理證實(shí)的cc RCC的MDCT影像資料。兩名放射科醫(yī)生雙盲記錄患者的影像學(xué)特征,包括腫瘤大小、囊性或?qū)嵭浴⑩}化、不均勻性、壞死比、生長(zhǎng)方式等,并與Fuhrman分級(jí)結(jié)果進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果:14/15例囊性cc RCC為低級(jí)別(FuhrmanⅠ~Ⅱ級(jí));在相對(duì)較多的實(shí)性cc RCC中,20/27例浸潤(rùn)型cc RCC為高級(jí)別(FuhrmanⅢ~Ⅳ級(jí))。單因素分析顯示腫瘤越大(臨界值為4 cm),Fuhrman分級(jí)越高(χ~2=11.441,P0.001);高級(jí)別以實(shí)性為主cc RCC中鈣化和壞死比≥0.6較低級(jí)別實(shí)性cc RCC多見(χ~2=29.007,P0.001;χ~2=18.454,P=0.030)。多因素分析提示腫瘤大小、浸潤(rùn)性生長(zhǎng)、壞死比≥0.6是實(shí)性為主cc RCC FuhrmanⅢ~Ⅳ級(jí)的獨(dú)立預(yù)測(cè)因素(OR:0.122,P=0.002;OR:13.234,P=0.002;OR:12.891,P=0.031)。結(jié)論:MDCT對(duì)預(yù)測(cè)cc RCC Fuhrman分級(jí)有較大的應(yīng)用價(jià)值。囊性cc RCC傾向于低級(jí)別。以實(shí)性為主cc RCC中,腫瘤越大、浸潤(rùn)性生長(zhǎng)、壞死比(≥0.6)越高,均預(yù)示較高的Fuhrman分級(jí)。
[Abstract]:Objective: to study the RCC in renal clear cell carcinoma (RCC). The relationship between MDCT imaging findings and Fuhrman grading. Methods: a retrospective analysis of 113 cases of cc proved by surgery and pathology. MDCT data of RCC. Imaging features of two radiologists were recorded in double blind. These include tumor size, cystic or solid, calcification, heterogeneity, necrosis ratio, growth pattern, etc. Results 15 / 14 / 15 cases of cystic cc RCC were of low grade Fuhrman 鈪，

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