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目的 比较超声、静脉肾盂造影及膀胱镜检查对膀胱癌的诊断价值。方法 对临床疑为膀胱癌的 45例患者首先应用超声显像检测 ,然后部分患者再进行静脉肾盂造影及 或膀胱镜检查 ,检查结果与术后病理结果进行对照分析。结果 超声、静脉肾盂造影及膀胱镜检查诊断膀胱癌与手术病理诊断符合率分别为 95 .6% (4 3 45 )、75 .0 % (2 1 2 8)及 97.2 % (3 5 3 6)。在膀胱癌的诊断上 ,超声与静脉肾盂造影相比有显著性差异 (P <0 .0 1) ,超声与膀胱镜检查相比无显著性差异 (P >0 .0 5 )。结论 超声显像对膀胱癌的诊断可提供重要诊断依据。但应与膀胱移行上皮增生 ,膀胱腺体增生 ,小房小梁形成伴出血进行鉴别。
Objective To compare the diagnostic value of ultrasound, intravenous pyelography and cystoscopy in diagnosis of bladder cancer. Methods Forty-five patients with clinically suspected bladder cancer were examined by ultrasound imaging. Then some patients underwent intravenous pyelography or cystoscopy, and the results were compared with postoperative pathological findings. Results The coincidence rates of ultrasound, IVP and cystoscopy in diagnosing bladder cancer and pathological diagnosis were 95.6% (4345%), 75.0% (2128%) and 97.2% (3536%) respectively, . In the diagnosis of bladder cancer, ultrasound and intravenous pyelography compared to significant differences (P <0.01), ultrasound and cystoscopy compared to no significant difference (P> 0.05). Conclusion Ultrasound imaging diagnosis of bladder cancer can provide important diagnostic basis. However, bladder transitional epithelial hyperplasia, hyperplasia of the glandular cyst, trabecular formation with hemorrhage were identified.