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目的 探讨CT三维重建成像技术 (3D CT)在膀胱肿瘤诊治中的应用价值。 方法 应用 3D CT对 1 5例膀胱占位病变的患者进行检查 ,对诊断和分期结果与术后病理进行对比分析。 结果 3D CT诊断膀胱癌 1 2例 (移行细胞癌 ) ,膀胱良性肿瘤 2例 (平滑肌瘤 ) ,肠道肿瘤侵及膀胱1例 (结肠癌 ) ,3D CT诊断定位准确率 1 0 0 %。 1 2例膀胱癌术前分期 :T1 5例 ,T2 3例 ,T33例 ,T4 1例 ,与病理分期对照 ,准确率 83 % (1 0 / 1 2 )。 结论 3D CT可以提高膀胱癌术前分期准确性 ,对手术选择具有重要的参考价值
Objective To explore the value of 3D reconstruction computed tomography (CT) in the diagnosis and treatment of bladder cancer. Methods Fifteen 15 cases with bladder space lesions were examined by 3D CT, and the diagnostic and staging results were compared with postoperative pathology. Results 3D CT diagnosis of bladder cancer in 12 cases (transitional cell carcinoma), 2 cases of benign tumor of the bladder (leiomyoma), 1 cases of intestinal tumor invasion and bladder (colon cancer), 3D CT diagnostic accuracy of 100%. There were 5 cases of T1, 3 cases of T2, 3 cases of T2, 1 case of T33 and 1 case of T4. The accuracy rate was 83% (10/14) with pathological staging. Conclusion 3D CT can improve the accuracy of preoperative staging of bladder cancer and has important reference value for surgical selection