\u5f71\u50cf\u5b66\u68c0\u67e5\u5728\u4e34\u5e8a\u4e0a\u7684\u5e7f\u6cdb\u5e94\u7528\uff0c\u80be\u56ca\u80bf\u7684\u68c0\u51fa\u7387\u4e5f\u9010\u6e10\u589e\u591a\uff0c\u5bf9\u4e8e\u5355\u7eaf\u6027\u80be\u56ca\u80bf\uff0c\u65e0\u9700\u8fdb\u4e00\u6b65\u5f71\u50cf\u5b66\u68c0\u67e5\uff0c\u800c\u5bf9\u4e8e\u590d\u6742\u6027\u80be\u56ca\u80bf\u4e3a\u6392\u9664\u80bf\u7624\u9700CT\u5e73\u626b\u6216\u589e\u5f3a\u626b\u63cf\u3002<\/p>\n
01<\/p>\n
\u80be\u56ca\u80bfBosniak\u5206\u7ea7<\/p>\n
Bosniak\u80be\u56ca\u80bf\u5206\u7ea7\u7cfb\u7edf\u7528\u4e8e\u8bca\u65ad\u548c\u5904\u7406\u80be\u56ca\u6027\u75c5\u53d8\u3002\u4e3b\u8981\u4f9d\u636eCT\u5e73\u626b\u548c\u589e\u5f3a\u7684\u5f71\u50cf\u5b66\u7279\u5f81\u5c06\u80be\u56ca\u6027\u75c5\u53d8\u5206\u4e3a5\u7ea7\u3002<\/p>\n
\u2160\u7ea7\u2013\u5355\u7eaf\u6216\u591a\u53d1\u6027\u56ca\u80bf\uff0c\u6bcf\u4e2a\u56ca\u80bf\u58c1\u8584\uff0c\u65e0\u5206\u9694\u3001\u9499\u5316\u548c\u5b9e\u6027\u6210\u5206\u3002\u56ca\u6db2\u5448\u6c34\u6837\u5bc6\u5ea6\uff0c\u65e0\u589e\u5f3a\u3002\u4e3a\u826f\u6027\u75c5\u53d8\u3002<\/p>\n<\/p>\n
\u2161\u7ea7\u2013\u53ef\u6709\u5c11\u91cf\u8584\u7684\u5206\u9694\uff0c\u56ca\u58c1\u6216\u5206\u9694\u53ef\u663e\u793a\u5c0f\u9499\u5316\u7076\u6216\u5c40\u90e8\u8f7b\u5ea6\u589e\u539a\u7684\u9499\u5316\u7076\u3002\u8fd9\u7c7b\u56ca\u80bf\u76f4\u5f84\u5c0f\u4e8e3cm\u3001\u8fb9\u754c\u6e05\u6670\u4e14\u65e0\u589e\u5f3a\u7684\u5747\u4e00\u9ad8\u5bc6\u5ea6\u75c5\u53d8\u3002\u4e3a\u826f\u6027\u75c5\u53d8\u3002<\/p>\n<\/p>\n
\u2161F\u7ea7\u2013\u56ca\u80bf\u8fb9\u754c\u6e05\u6670\uff0c\u590d\u6742\u7a0b\u5ea6\u4ecb\u4e8e\u2161\u548c\u2162\u7ea7\uff0c\u53ef\u6709\u591a\u4e2a\u8584\u5206\u9694\uff0c\u56ca\u58c1\u6216\u5206\u9694\u8f7b\u5ea6\u5e73\u6ed1\u589e\u539a\uff0c\u53ef\u542b\u6709\u589e\u539a\u548c\u7ed3\u8282\u72b6\u7684\u9499\u5316\u3002CT\u589e\u5f3a\u4e0d\u660e\u663e\uff0c\u4e0e\u5e73\u626b\u6bd4\u8f83\u4e3b\u89c2\u611f\u89c9\u6709\u56ca\u58c1\u6216\u5206\u9694\u589e\u5f3a\u3002\u6b64\u5206\u7c7b\u8fd8\u5305\u62ec\u5b8c\u5168\u5904\u4e8e\u80be\u5185\u4e14\u76f4\u5f84\u8d85\u8fc73cm\u7684\u65e0\u589e\u5f3a\u9ad8\u5bc6\u5ea6\u75c5\u53d8\u3002\u9700\u8981\u968f\u8bbf\u89c2\u5bdf\u662f\u5426\u6709\u6076\u6027\u53d8\u5316\u3002<\/p>\n<\/p>\n
\u2162\u7ea7\u2013\u4e0d\u80fd\u5b9a\u6027\u7684\u56ca\u6027\u80bf\u5757\uff0c\u589e\u539a\u7684\u4e0d\u89c4\u5219\u6216\u5e73\u6ed1\u56ca\u58c1\u6216\u5206\u9694\uff0c\u5e76\u6709\u589e\u5f3a\u8868\u73b0\u300240%-60%\u6076\u6027\u53ef\u80fd(\u56ca\u6027\u80be\u7ec6\u80de\u764c\u548c\u591a\u623f\u56ca\u6027\u80be\u7ec6\u80de\u764c)\u3002\u5176\u4f59\u75c5\u53d8\u4e3a\u826f\u6027\u51fa\u8840\u6027\u56ca\u80bf\u3001\u6162\u6027\u611f\u67d3\u6027\u56ca\u80bf\u548c\u591a\u623f\u56ca\u6027\u80be\u7624\u3002<\/p>\n<\/p>\n
\u2163\u7ea7\u2013\u2163\u7ea7\u75c5\u53d8\u6709\u2162\u7ea7\u56ca\u80bf\u7684\u6240\u6709\u7279\u5f81\uff0c\u589e\u5f3a\u8f6f\u7ec4\u7ec7\u6210\u5206\u9760\u8fd1\u6216\u72ec\u7acb\u4e8e\u56ca\u58c1\u6216\u5206\u9694\u300285%-100%\u6076\u6027\u53ef\u80fd\u3002<\/p>\n<\/p>\n
02<\/p>\n
\u57fa\u4e8eBosniak\u80be\u56ca\u80bf\u5206\u7ea7\u7684\u4e34\u5e8a\u5904\u7406<\/p>\n
\u2160\u7ea7\u548c\u2161\u7ea7\u2013\u901a\u5e38\u4e0d\u9700\u8981\u8fdb\u4e00\u6b65\u8bc4\u4f30\uff0c\u5efa\u8bae6-12\u4e2a\u6708\u590d\u67e5\u8d85\u58f0\uff0c\u89c2\u5bdf\u75c5\u53d8\u662f\u5426\u8fdb\u5c55\u3002\u5bf9\u4e8e\u65e0\u6cd5\u533a\u5206\u7684\u2161\u7ea7\u548c\u2161F\u7ea7\u56ca\u80bf\uff0cCT\u68c0\u67e5\u968f\u8bbf\u3002<\/p>\n
\u2161F\u7ea7\u2013\u8d85\u58f0\u548cCT\u4e0d\u80fd\u5b9a\u6027\u80be\u56ca\u6027\u75c5\u53d8\u65f6\u5e38\u4e3aBosniak \u2161F\u7ea7\u6216\u2162\u7ea7\uff0c\u5bf9\u4e8e\u2161F\u7ea7\u56ca\u80bf\u5b58\u5728\u653e\u5c04\u8bca\u65ad\u533b\u5e08\u8bca\u65ad\u7ed3\u679c\u7684\u4e0d\u4e00\u81f4\uff0c\u6b64\u7c7b\u60c5\u51b5\u9700\u884c\u589e\u5f3aMRI\u8fdb\u4e00\u6b65\u660e\u786e\u75c5\u53d8\u3002\u2161F\u7ea7\u56ca\u80bf\u9700\u8981\u5f71\u50cf\u5b66\u968f\u8bbf\u89c2\u5bdf\u6709\u65e0\u8fdb\u5c55\uff0c\u4f7f\u7528\u4e86\u201cF(follow-up)\uff0c\u653e\u5c04\u79d1\u533b\u751f\u4e0d\u80fd\u660e\u786e\u5224\u65ad\u2161F\u7ea7\u548c\u2162\u7ea7\u65f6\uff0c\u5e94\u5c06\u8be5\u75c5\u53d8\u5224\u5b9a\u4e3a\u2162\u7ea7\u3002<\/p>\n
\u2162\u7ea7\u548c\u2163\u7ea7\u2013<\/p>\n
1.MRI\u8bc4\u4f30\u548c\u4e3b\u52a8\u76d1\u6d4b\u4e0d\u80fd\u5b9a\u6027\u75c5\u53d8\u7684\u60a3\u8005\u3002\u53ef\u76d1\u6d4b\u56ca\u58c1\u589e\u539a\u3001\u7ed3\u8282\u6027\u3001\u5206\u9694\u548c\u589e\u5f3a\uff0c\u660e\u786e\u56ca\u80bf\u5185\u5bb9\u7269(\u51fa\u8840\u6216\u9ecf\u6db2)\uff0c\u5bf9\u4e8e\u5185\u90e8\u5206\u9694\u7684\u589e\u5f3a\u6bd4\u8d85\u58f0\u548cCT\u66f4\u654f\u611f\u3002\u4e0d\u89c4\u5219\u56ca\u58c1\u548c\u56ca\u58c1\u4fe1\u53f7\u660e\u663e\u589e\u5f3a\u4e0e\u6076\u6027\u80bf\u7624\u9ad8\u5ea6\u76f8\u5173\u3002\u5bf9\u4e8e\u9499\u5316\u68c0\u6d4b\u4e0d\u654f\u611f\u3002\u68c0\u67e5\u540e\u4ecd\u4e0d\u80fd\u5b9a\u6027\uff0c\u5efa\u8bae\u57283\u30016\u548c12\u4e2a\u6708\u65f6\u590d\u67e5MRI\u3002\u5982\u75c5\u53d8\u572812\u4e2a\u6708\u65f6\u4ecd\u7136\u7a33\u5b9a\uff0c\u65e0\u9700\u8fdb\u4e00\u6b65\u5f71\u50cf\u5b66\u68c0\u67e5\u968f\u8bbf\u3002<\/p>\n
2.\u8ba1\u5212\u80bf\u7624\u6d88\u878d\u65f6\u8fdb\u884c\u7684\u7ecf\u76ae\u7a7f\u523a\u6d3b\u68c0\uff1a\u4e0d\u63a8\u8350\u5bf9\u53ef\u5207\u9664\u7684\u80be\u810f\u75c5\u53d8\u5b9e\u65bd\u672f\u524d\u7a7f\u523a\u6d3b\u68c0\uff0c\u56e0\u5176\u64cd\u4f5c\u53ef\u81f4\u80bf\u7624\u64ad\u6563\u3002\u5728\u80be\u810f\u80bf\u5757\u7684\u7ecf\u76ae\u51b7\u51bb\u6d88\u878d\u524d\u884c\u6d3b\u68c0\u3002\u5f71\u50cf\u5b66\u68c0\u67e5\u4e0d\u80fd\u786e\u8bca\u65f6\uff0c\u6709\u7814\u7a76\u62a5\u9053\u5f71\u50cf\u5b66\u5f15\u5bfc\u4e0b\u7ecf\u76ae\u80be\u6d3b\u68c0\u5f88\u5b89\u5168\uff0c\u53ef\u8bca\u65ad80%\u7684\u75c5\u4f8b\u3002<\/p>\n
3.\u80be\u90e8\u5206\u5207\u9664\u672f\u2014\u5e38\u7528\uff0c\u6709\u624b\u672f\u9002\u5e94\u75c7\u8005\u4f18\u5148\u9009\u7528\uff0c\u624b\u672f\u5e76\u53d1\u75c7\u5f88\u5c11\u3002<\/p>\n
4.\u4e0d\u9002\u5408\u624b\u672f\u6216\u9009\u62e9\u76d1\u6d4b\uff0c\u5efa\u8bae6\u4e2a\u6708\u65f6\u8fdb\u884cCT\u6216MRI\u68c0\u67e5\uff0c\u4ee5\u540e\u6bcf\u5e741\u6b21CT\u6216\u8d85\u58f0\u590d\u67e5\u3002<\/p>\n
\u53c2\u8003\u6587\u732e<\/p>\n
1. Israel GM, Bosniak MA. An update of the Bosniak renal cyst classification system. Urology. 2005,66(3): 484-8.<\/p>\n
2.Curry NS, Cochran ST, Bissada NK. Cystic renal masses: accurate Bosniak classification requires adequate renal CT. AJR Am J Roentgenol. 2000,175(2): 339-42.<\/p>\n
3. Harisinghani MG, Maher MM, Gervais DA, et al. .Incidence of malignancy in complex cystic renal masses (Bosniak category III): should imaging-guided biopsy precede surgery? AJR Am J Roentgenol. 2003,180(3): 755-8.<\/p>\n
4.. Smith AD, Allen BC, Sanyal R, et al. Outcomes and complications related to the management of Bosniak cystic renal lesions. AJR Am J Roentgenol. 2015,204(5): W550-6.<\/p>\n
5. Goenka AH, Remer EM, Smith AD, Obuchowski NA, Klink J, Campbell SC.. Development of a clinical prediction model for assessment of malignancy risk in Bosniak III renal lesions. Urology. 2013,82(3): 630-5.<\/p>\n
\u4f5c\u8005\u7b80\u4ecb<\/p>\n
\u5f20\u57f9\u65b0<\/p>\n
\u6ccc\u5c3f\u5916\u79d1\u5b66\u7855\u58eb\uff0c\u6ccc\u5c3f\u5916\u79d1\u4e3b\u4efb\u533b\u5e08\uff0c\u5c31\u804c\u4e8e\u65b0\u7586\u7ef4\u543e\u5c14\u81ea\u6cbb\u533a\u4eba\u6c11\u533b\u9662\u6ccc\u5c3f\u4e2d\u5fc3\u751f\u6b96\u533b\u5b66\u4e2d\u5fc3\u3002<\/p>\n
\u4e2d\u534e\u533b\u5b66\u4f1a\u7537\u79d1\u5b66\u5206\u4f1a\u7537\u6027\u751f\u6b96\u4e0e\u4e0d\u80b2\u5b66\u7ec4\u59d4\u5458\uff0c\u4e2d\u534e\u9884\u9632\u533b\u5b66\u4f1a\u751f\u80b2\u529b\u4fdd\u5b58\u4e13\u59d4\u4f1a\u65b0\u7586\u5206\u4f1a\u5e38\u52a1\u59d4\u5458\uff0c\u4e2d\u56fd\u6027\u5b66\u4f1a\u751f\u6b96\u68c0\u9a8c\u5206\u4f1a\u59d4\u5458\uff0c\u5168\u56fd\u975e\u516c\u6709\u5236\u533b\u7597\u534f\u4f1a\u751f\u6b96\u533b\u5b66\u4f1a\u59d4\u5458\uff0cUpToDate\u4e34\u5e8a\u987e\u95ee\u4e2d\u6587\u7248\u7ffb\u8bd1\u4e13\u5bb6\uff0c\u65b0\u7586\u533b\u5b66\u4f1a\u533b\u7597\u4e8b\u6545\u6280\u672f\u9274\u5b9a\u5e93\u4e13\u5bb6\uff0c\u65b0\u7586\u7ef4\u543e\u5c14\u81ea\u6cbb\u533a\u79d1\u6280\u5385\u91cd\u5927\u7814\u53d1\u9879\u76ee\u8bc4\u5ba1\u4e13\u5bb6\uff0c\u4eba\u793e\u5385\u52b3\u52a8\u80fd\u529b\u9274\u5b9a\u4e13\u5bb6\u5e93\u6210\u5458\uff0c\u300a\u65b0\u7586\u533b\u5b66\u300b\u6742\u5fd7\u5ba1\u7a3f\u4e13\u5bb6\u3002\u4e3b\u6301\u81ea\u6cbb\u533a\u81ea\u7136\u57fa\u91d1\u9879\u76ee\u4e00\u9879\uff0c\u4e3b\u6301\u53ca\u53c2\u4e0e\u81ea\u6cbb\u533a\u4eba\u6c11\u533b\u9662\u79d1\u7814\u8bfe\u98983\u9879\uff0c\u5728\u56fd\u5185\u6838\u5fc3\u4e13\u4e1a\u671f\u520a\u53d1\u8868\u5b66\u672f\u8bba\u658710\u4f59\u7bc7\uff0c\u4e3b\u8981\u4e13\u4e1a\u65b9\u5411\u4e3a\u6ccc\u5c3f\u7ed3\u77f3\u80bf\u7624\u53ca\u751f\u6b96\u7537\u79d1\u3002<\/p>\n
\u7f16\u8f91\uff1a\u5f20\u6842\u82b3<\/p>\n
\u5ba1\u6838\uff1a\u738b\u6b23<\/p>\n
\u7ec8\u5ba1\uff1a\u90ed\u6d9b<\/p>\n","protected":false},"excerpt":{"rendered":"
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