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间歇性无痛肉眼血尿是膀胱癌代表性体征;原发性原位肿瘤患者状伴有耻骨上或阴茎痛;个别患者排尿困难。仔细做好患者膀胱的切面扫描是膀胱癌超声诊断中重要的环节,早期超声提示膀胱壁回声正常,借助腹壁震动就见留题飘动;晚期受侵犯的膀胱壁增厚、层次模糊不清、轮廓缺损;在确诊中,做好膀胱癌与血凝块的仔细鉴别,免得误诊,本文入选的64例疑是膀胱癌患者,经过病理、CT或MRI核实确诊,符合率为93.75%,误诊4例,后确诊为血凝块或前列腺增生。
Intermittent painless hematuria is a sign of bladder cancer; primary in situ tumor patients with suprapubic or penile pain; individual dysuria. Carefully do a good job in the patient’s bladder scan is an important part of ultrasound diagnosis of bladder cancer, early ultrasound prompt bladder wall echoes normal, with the abdominal wall vibration to see the problem floating; late invasion of the bladder wall thickening, the level of ambiguous, outline In diagnosis, bladder cancer and blood clots do careful identification, so as not to be misdiagnosed, the selected 64 cases of suspected bladder cancer patients, after pathology, CT or MRI verification confirmed that the coincidence rate was 93.75%, 4 cases of misdiagnosis , After the diagnosis of clot or prostatic hyperplasia.