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目的 探讨超声在膀胱肿瘤的术前诊断和分期中的应用价值。方法 对 37例经手术病理证实的膀胱肿瘤进行超声显像和膀胱镜检回顾性对比分析。结果 超声诊断膀胱癌 30例 ,膀胱良性肿瘤 3例 ,前列腺肿瘤侵及膀胱 1例 ,误诊 3例 ,符合率为 91.9% (34/ 37)。 30例膀胱癌术前分期 :T1 7例 ,T2 13例 ,T311例 ,T46例 ,与病理分期对照 ,准确率 86 .6 % (2 6 / 30 )。膀胱镜诊断率为 96 .7% (2 9/ 31)。结论 超声显像对于膀胱肿瘤的术前诊断及分期有较高诊断价值 ,同时结合膀胱镜检查可进一步提高膀胱肿瘤的术前诊断准确率。
Objective To investigate the value of ultrasound in the preoperative diagnosis and staging of bladder cancer. Methods Thirty-seven cases of bladder tumor confirmed by surgery and pathology were retrospectively analyzed by ultrasound and cystoscopy. Results Ultrasound diagnosis of bladder cancer in 30 cases, 3 cases of benign bladder tumor, 1 case of prostate tumor invading the bladder and misdiagnosis in 3 cases, the coincidence rate was 91.9% (34/37). The preoperative staging of 30 cases of bladder cancer: T1 7 cases, T2 13 cases, T311 cases, T46 cases, compared with the pathological stage, the accuracy rate of 86.6% (26/30). Cystoscopy diagnosis rate was 96.7% (29/31). Conclusion Ultrasound imaging for the diagnosis of bladder cancer and staging a higher diagnostic value, combined with cystoscopy can further improve the accuracy of preoperative diagnosis of bladder cancer.