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投稿时间:2020-03-23 网络发布日期:2020-12-20
投稿时间:2020-03-23 网络发布日期:2020-12-20
中文摘要: 糖尿病足属于“脱疽”的范畴,是糖尿病常见的并发症。“诸痛痒疮,皆属于心”出自《素问·至真要大论》病机十九条,在深入理解该条文基础上浅析糖尿病足一病,探讨糖尿病足病因病机,从“心”论治该病,并指导临床中西医结合治疗该病。
Abstract:Objective To investigate the application value of qualitative and quantitative contrast-enhanced ultrasound in differentiating benign and malignant renal tumors. Methods A total of 59 patients with renal parenchymal space occupying confirmed by surgery and pathology from January 2017 to March 2019 were selected as the research objects.All patients underwent contrast-enhanced ultrasound (CEUS) before operation.The differences between qualitative and quantitative parameters of CEUS were compared and analyzed, and the value of CEUS in differentiating benign and malignant renal lesions was discussed. Results There were 47 cases of renal malignant tumors (42 cases of clear cell carcinoma, 3 cases of chromophobe cell carcinoma, 2 cases of papillary cell carcinoma), 12 cases of benign renal tumors, all of them were angiomyolipoma.The peak uneven enhancement was significantly higher in renal malignant tumors than in benign renal tumors (44.68% vs 8.33%, P=0.022).The rise time and time to peak of renal malignant tumor were significantly lower than those of benign renal tumor, while the peak intensity (IMAX) of renal malignant tumor was significantly higher than that of renal benign tumor (P<0.05, P<0.01). Conclusion The qualitative and quantitative techniques of contrast-enhanced ultrasound have high clinical application value in differentiating benign and malignant renal tumors.
keywords: Contrast enhanced ultrasound Qualitative diagnosis Quantitative diagnosis Renal tumor Rise time Time to peak Peak intensity
文章编号: 中图分类号:R221.1,R587.2 文献标志码:B
基金项目:国家中医药管理局龙江医学流派传承工作室建设项目(LPGZS2012-14);黑龙江省中医药管理局龙江医派研究项目(ZHY12-Z095)
附件
Author Name | Affiliation |
ZHU Ting*, ZHANG Qiu-qin, CHE Xin, WU Long, LU Hai-yan | *Ultrasonography Department, Baoshan Branch, Huashan Hospital North, Fudan University, Shanghai 200431, China |
引用文本:
李超琳,姜德友.从“诸痛痒疮,皆属于心”角度浅析糖尿病足[J].中国临床研究,2020,33(12):1688-1690.
李超琳,姜德友.从“诸痛痒疮,皆属于心”角度浅析糖尿病足[J].中国临床研究,2020,33(12):1688-1690.