论文部分内容阅读
目的采用超声支气管镜作为“超声膀胱软镜”进行膀胱肿瘤分期诊断,探讨其可行性及临床应用价值。方法对2010年6月至2010年11月我院收治的36例初发膀胱尿路上皮肿瘤患者术前行“超声膀胱软镜”检查以判断分期。“超声膀胱软镜”镜检后行常规膀胱镜检及活检术,所有患者均行静脉肾盂造影及盆腔CT检查,对于无法确诊肌层浸润的膀胱癌患者行经尿道膀胱肿瘤切除术(TURBT),并取肿瘤基底送病理。超声内镜检查结果与传统影像学检查结果及术后病理进行对照分析,比较超声内镜检查及常规膀胱镜检时患者的视觉疼痛评分(VAS)。结果 “超声膀胱软镜”检查术中VAS明显低于常规膀胱镜检(1.3±0.5 vs 4.3±0.9,P<0.01)。36例初发膀胱尿路上皮肿瘤患者经“超声膀胱软镜”诊断为非肌层浸润性膀胱癌(non-muscle-invasive bladder tumor,NMIBT;Ta+T1)28例,肌层浸润性膀胱癌(muscle-invasive bladder tumor,MIBT;T2+T3)8例。与术后病理分期相比,“超声膀胱软镜”诊断NMIBT与MIBT符合率均为100%。结论 “超声膀胱软镜”检查操作可行,痛苦小,能显示肿瘤浸润膀胱壁的深度,可辅助用于初发膀胱肿瘤术前分期诊断。
Objective To evaluate the feasibility and clinical value of using ultrasound bronchoscope as a staging diagnosis of bladder cancer. Methods From June 2010 to November 2010, 36 patients with primary urinary bladder cancer who were admitted to our hospital underwent preoperative ultrasound scintigraphy to check the staging. All cases underwent routine cystoscopy and biopsy, and all patients underwent intravenous pyelography and pelvic CT examination. TURBT (TURBT) was performed in patients with bladder cancer who could not diagnose myometrial invasion ), And take the tumor base to send pathology. Ultrasound endoscopy results and conventional imaging findings and postoperative pathology were analyzed, compared with ultrasound endoscopy and routine cystoscopy in patients with visual acuity score (VAS). Results The VAS in the ultrasound scintigraphy was significantly lower than that in the conventional cystoscopy (1.3 ± 0.5 vs 4.3 ± 0.9, P <0.01). Twenty-eight patients with non-muscle-invasive bladder tumor (NMIBT; Ta + T1) were diagnosed as having bladder invasive ductal neoplasms by using " There were 8 cases of bladder-invasive bladder tumor (MIBT; T2 + T3). Compared with the postoperative pathological staging, the coincidence rates of NUSBT and MIBT were 100%. Conclusion Ultrasound Bladder Scintigraphy is feasible and painful. It can show the depth of tumor infiltrating the bladder wall and can be used to diagnose preoperative bladder cancer.