多层螺旋CT三期增强扫描对膀胱癌的诊断价值研究
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摘要
目的研究多层螺旋CT三期增强扫描对膀胱癌的诊断价值。方法选取2016年3月-2018年4月我院收治的经手术及病理证实为膀胱癌的患者69例,患者均于术前行CT平扫及增强扫描检查,对患者的临床及影像学资料进行收集,对CT扫描中肿瘤的大小、数目以及病灶的强化程度进行分析,通过与术后的病理检查结果进行对照,判断CT对肿瘤的诊断准确性。结果 CT平扫及三期增强扫描对膀胱癌患者的结果与手术病理检查结果对照,CT对膀胱癌患者病变检出的准确性高达94.20%;且对肿瘤的大小、形态、数目以及强化程度显示良好,能清楚区分肿瘤与周围组织、器官之间的关系。结论多层螺旋CT三期动态增强扫描技术在膀胱癌诊断中,有较高的检出率,有助于早期临床医生实施外科干预,可作为为膀胱癌的常规检查方法。
Objective To study the diagnostic value of three-phase multislice spiral CT contrast-enhanced scan in the diagnosis of bladder cancer. Methods A total of 69 patients who were confirmed by surgery and pathology as bladder cancer and admitted to our hospital from March 2016 to April 2018 were selected. All patients underwent CT nonenhanced scan and enhanced scan before surgery. The researcher collected the clinical and imaging data of the patients, analyzed the size, number and enhancement degree of tumor lesions in the CT scan, and judged the accuracy of CT diagnosis of tumor by comparing with postoperative pathological examination results. Results The accuracy of CT in detecting bladder cancer was up to 94.20% in comparison with the results of surgical pathology. Moreover, the tumor size, shape, number and degree of enhancement are well displayed, and the relationship between tumor and surrounding tissues and organs can be distinguished clearly. Conclusion Multislice spiral CT tri-phase enhancement scanning technology has a high detection rate in the diagnosis of bladder cancer, which is helpful for the development of therapeutic strategies. It can be selected as a routine examination method for bladder cancer.
Objective To study the diagnostic value of three-phase multislice spiral CT contrast-enhanced scan in the diagnosis of bladder cancer. Methods A total of 69 patients who were confirmed by surgery and pathology as bladder cancer and admitted to our hospital from March 2016 to April 2018 were selected. All patients underwent CT nonenhanced scan and enhanced scan before surgery. The researcher collected the clinical and imaging data of the patients, analyzed the size, number and enhancement degree of tumor lesions in the CT scan, and judged the accuracy of CT diagnosis of tumor by comparing with postoperative pathological examination results. Results The accuracy of CT in detecting bladder cancer was up to 94.20% in comparison with the results of surgical pathology. Moreover, the tumor size, shape, number and degree of enhancement are well displayed, and the relationship between tumor and surrounding tissues and organs can be distinguished clearly. Conclusion Multislice spiral CT tri-phase enhancement scanning technology has a high detection rate in the diagnosis of bladder cancer, which is helpful for the development of therapeutic strategies. It can be selected as a routine examination method for bladder cancer.
引文
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[11]王贺龙,宋传旺,郭术俊.尿microRNAs的检测对膀胱癌诊断价值的Meta分析[J].山西医科大学学报,2017,48(5):493-498.
[12]吴康,满艳茹,唐文潇,等.自动尿液细胞DNA定量分析对泌尿系统炎症与膀胱癌的鉴别诊断价值[J].中国临床医学,2016,23(5):629-632.
[13]雷玉英,高洁,王饶祥,等.弥散加权成像在膀胱癌诊断的价值[J].昆明医科大学学报,201738(7):136-139.
[14]邱建宏,赵新鸿,张世睿,等.经尿道等离子杆状电极剜除治疗非肌层浸润性膀胱癌[J].临床误诊误治,2016,29(3):45-46.
[15]李勇,石思雅,朱望舒,等.膀胱癌盆腔正常大小的淋巴结转移:CT、MRI评价的比较[J].中华泌尿外科杂志,2017,38(8):20-22.
[16]廖文华,张杨贵,何旭升,等.MRI与CT诊断不同病理分期前列腺癌患者的准确率对比[J].中国CT和MRI杂志,2016,14(3):81-83.
[2]刘红权,陈艳.膀胱不同部位肿瘤的多层CT及多普勒超声检出率比较[J].中国CT和MRI杂志,2017,15(6):117-119.
[3]曾梓航,刘尚勤,范民,等.rs798766C>T多态性与膀胱癌易感性的Meta分析[J].医学分子生物学杂志,2017,14(3):131-132.
[4]彭晚祥,李一辉,李亚,等. CT诊断膀胱内翻性乳头状瘤的价值[J].现代中西医结合杂志,2017,26(15):1695-1697.
[5]王逸敏,刘爱连,刘静红,等.单源双能CT对膀胱血肿内膀胱癌病灶的检出价值[J].实用放射学杂志,2016,32(8):1237-1241.
[6]于洋.膀胱癌的18F-FDGPETCT显像诊断价值研究[J].中国CT和MRI杂志,2016,14(6):85-87.
[7]王斌,陶佳意.膀胱癌的CT及MRI临床诊断分析[J].中国CT和MRI杂志,2016,14(6):88-90.
[8]杨华,李坚勇,谭卫,等.不同药物膀胱灌注预防膀胱肿瘤患者术后复发的临床研究[J].解放军医药杂志,2016,28(12):59-61.
[9]于洋,王春仙,索勇.干细胞标记物OCT4在膀胱癌中的表达及其临床意义[J].解放军医药杂志,2016,28(8):19-22.
[10]朱景振,刘骞,梁佳佳,等.超声检查对膀胱癌的诊断价值Meta分析[J].现代泌尿生殖肿瘤杂志, 2 0 1 7,9(1):21-25.
[11]王贺龙,宋传旺,郭术俊.尿microRNAs的检测对膀胱癌诊断价值的Meta分析[J].山西医科大学学报,2017,48(5):493-498.
[12]吴康,满艳茹,唐文潇,等.自动尿液细胞DNA定量分析对泌尿系统炎症与膀胱癌的鉴别诊断价值[J].中国临床医学,2016,23(5):629-632.
[13]雷玉英,高洁,王饶祥,等.弥散加权成像在膀胱癌诊断的价值[J].昆明医科大学学报,201738(7):136-139.
[14]邱建宏,赵新鸿,张世睿,等.经尿道等离子杆状电极剜除治疗非肌层浸润性膀胱癌[J].临床误诊误治,2016,29(3):45-46.
[15]李勇,石思雅,朱望舒,等.膀胱癌盆腔正常大小的淋巴结转移:CT、MRI评价的比较[J].中华泌尿外科杂志,2017,38(8):20-22.
[16]廖文华,张杨贵,何旭升,等.MRI与CT诊断不同病理分期前列腺癌患者的准确率对比[J].中国CT和MRI杂志,2016,14(3):81-83.