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題 名 | Ultrasonic B-Scanning in the Investigation of Renal Masses=應用B型超音波掃瞄調查腎臟腫瘤 |
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作 者 | 丘祖毅; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 14:3 1981.09[民70.09] |
頁 次 | 頁188-196 |
關鍵詞 | B型超音波掃瞄; 腎臟腫瘤; |
語 文 | 英文(English) |
中文摘要 | 在過去三年中,69個腎臟腫瘤的病人常規的接受B型超音波掃瞄,作者發現在決定腎臟腫瘤本質為囊腫或為實質病變的精確率較高達92.3%。37個腎臟囊腫的病人和19個實質性腎臟腫瘤的病人經由超音波掃描診斷,而在手術及病理檢查得到證實,而四個腎臟囊腫的病人在使用穿刺法得到證實,另二個腎臟囊腫的病人與四個腎臟實質性腫瘤都由腎臟血管攝影獲得證實,最後三個多囊性腎臟病的病人在手術得到證實。腎臟單獨囊腫在B型超音波掃瞄檢查時常以典型的囊腫圖式出現:腫瘤效應為能透過聲波,沒有回聲,而且有明顯的界限及輪廓。質質性的腫瘤則使腎臟外型變大,使用高回音檢查時在腫瘤內部可看,到許多粗糙的回音,至於沒有引起腎臟外型改變的小實質性腫瘤及腎孟長出來的腫瘤,往往腫瘤太小,不容易由超音波掃瞄出來。 |
英文摘要 | During the last 3 years, the author had routinely used B-scan ultrasound in the investigation of renal masses in 69 patients, and were proved to be accurate 93.2% in determining by whether a renal mass is solid or cystic. Thirty-even patients with cysts renal lesions and 19 patients with solid renal lesions were diagnosed by ultrasonography, and were proved by surgery and pathology. Four patients of renal cyst had proved by cyst puncture, and two patients confirmed avascularity masses on renal angiography. Four patients with solid renal lesions proved to be solid tumor by renal angiography. The remaining three patients confirmed to be polycystic kindey in surgery. Solitary cysts of kidney most often appear in the B-scan ultrasonic pattern as the classic findings of the cyst, the mass effect is transonic, echoless, and had a clear-cut demarcated outline. While in solid masses showed enlargement of the kidney outline and contains of multiple coarse echo systems within the mass at high gain settings. Small solid intruenal masses in the absence of enlargement of the renal outline, or tumors arising in the renal pelvis may present with difficulty detectable because of their frequent small size. |
本系統中英文摘要資訊取自各篇刊載內容。