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首页> 外文期刊>The Urologic clinics of North America >Imaging associated with percutaneous and intraoperative management of renal tumors.
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Imaging associated with percutaneous and intraoperative management of renal tumors.

机译:影像学检查与经皮和术中处理肾肿瘤有关。

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摘要

As new minimally invasive treatment options for small renal tumors such as laparoscopic partial nephrectomy (LPN), radiofrequency ablation (RFA), and cryoablation(CA) have been developed, the reliance upon imaging technologies, both intraoperatively and postoperatively, has expanded greatly. CT, MRI, and ultrasonography (US)have proven themselves extremely useful in this regard, but their utility requires a thorough understanding of each modality's limitations, proper intraoperative use, and expected postoperative findings. This article discusses intraoperative use of US for LPN,RFA, and CA. The expected postoperative MRI and CT findings after CA and RFA also are covered, highlighting the different radiographic evolutionary patterns encountered after use of these technologies. Because the success of these new treatments for small re-nal tumors (especially RFA and CA) depends not only on the technology itself but also on the advantages and limitations of the associated radiographic techniques, urologists of the 21st century must be facile at interpreting and manipulating these imaging modalities to appropriately care for their renal tumor patients.
机译:随着针对小肾脏肿瘤的新的微创治疗选择如腹腔镜部分肾切除术(LPN),射频消融术(RFA)和冷冻消融术(CA)的出现,术中和术后对成像技术的依赖已大大增加。 CT,MRI和超声检查(美国)已证明在这方面极为有用,但其实用性需要彻底了解每种方式的局限性,术中正确使用方法以及预期的术后发现。本文讨论了LPN,RFA和CA在术中使用US的情况。也涵盖了CA和RFA之后的预期术后MRI和CT检查结果,突出显示了使用这些技术后遇到的不同射线照相演变模式。由于这些新的治疗小型肾肿瘤(尤其是RFA和CA)的成功不仅取决于技术本身,还取决于相关放射照相技术的优势和局限性,因此21世纪的泌尿科医师必须精通于操纵这些成像方式以适当照顾他们的肾肿瘤患者。

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