静脉尿路造影和经腹B超对膀胱癌诊断价值的比较
【摘要】 目的 探讨静脉尿路造影和经腹B超对膀胱癌的诊断价值。方法 回顾性分析56例膀胱癌患者的临床资料，比较静脉尿路造影和经腹B超对膀胱癌诊断的准确性。结果 静脉尿路造影和经腹B超诊断膀胱肿瘤与手术病理诊断符合率分别为571%(32/56)和929% (52/56)，经腹B超漏诊4例，静脉尿路造影漏诊24例，差异有统计学意义(P<005)；对于膀胱癌分级较高和肿瘤体积较大患者，经腹B超检查的准确率较高。结论 经腹B超可以作为以无痛性血尿为首发症状的膀胱癌的首要筛选方法，对原发性和复发性膀胱癌的诊断及术前分期均有较高的诊断价值；IVU价格低廉，适合基层医院和筛查病变。【关键词】
静脉尿路造影；经腹B超；膀胱癌；诊断价值
【Abstract】 Objective To investigate the intravenous urography and abdominal B ultrasound diagnosis of bladder cancer Methods 56 patients with clinical data of patients with bladder cancer, comparing intravenous urography and transabdominal Bdiagnostic accuracy of bladder cancer Results The intravenous urography and abdominal B ultrasound diagnosis of bladder cancer with pathological diagnosis rate was 571% (32/56) and 929% (52/56), for high grade bladder cancer and tumors larger Patients with abdominal Bultrasound accuracy is higher Conclusion Transabdominal Bcan be used as painless hematuria as the first symptom of bladder cancer, primary screening methods； IVU low prices for basic hospital and screening lesions. ......
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