摘要
目的 :比较CT肾癌分期和INSS病理分期的相关性并对影响CT对肾癌分期的影响因素进行探讨 ,总结影响肾癌分期的因素。方法 :运用CT和手术病理及细胞学检查 (INSS分期 )对 1993年 9月～ 2 0 0 2年 8月进行手术治疗的 10 6例肾癌患者进行分期。回顾性地分析本实验组的术前CT资料 ,探讨CT对肾癌诊断和分期的价值。结果 :经术后病理诊断证实 ,本组CT对肾癌的准确率为 91.5 %。按Robson分期标准 ,CT对肾癌各分期的准确率分别为Ⅰ期 :87.5 % ,Ⅱ期 :76 .5 % ,Ⅲa期 :75 % ,Ⅲb期 :6 2 .5 % ,ⅢC期 :70 .0 % ,Ⅳa期 :75 .0 % ,Ⅳb期 :10 0 .0 %。分期错误率为 18.7%。结论
Objective: To compare the surgical stages with pathological stages based on International Neuroblastoma Staging System(INSS) staging and to explore effect of CT on determination of stages of renal cell carcinoma.Methods:the preoperative CT datas in 106 patients from Sept.1993 to Oct.2002 were staged by the surgicohistopathological method based on International Neuroblastoma Staging System(INSS).Results:The accuracy rate of CT diagnosis was 91.5%. The accuracy rate of staging according to Robson criteria :StageⅠ:87.5 %,SⅡ 76.5 %,SⅢa 75 %,SⅢb 62.5 %,SⅢC 70.0 %,SⅣa 75.0 %,SⅣb 100.0 %. The pit falls rate in CT staging was 18.7%. Conclusion: Imaging may be a valuable basis for clinical assessment and pretreatment staging of renal carcinoma.
出处
《江西医学院学报》
2002年第6期170-172,共3页
Acta Academiae Medicinae Jiangxi
