经腔内与经腹式超声对膀胱癌分期的诊断价值

Diagnostic value of transluminal and transabdominal ultrasound in the staging of bladder cancer

目的探讨经腔内与经腹式超声对膀胱癌分期的诊断价值。方法选取2015年1月至2019年5月间南京市江宁医院收治的经病理学检查确诊的78例膀胱癌患者纳入本研究,将经腔内超声检查的39例患者纳入观察组,经腹式超声诊断检查的39例患者纳入对照组,将两组患者的诊断结果与病理学检查结果进行比较,探讨两种诊断方法的准确率。结果两组患者T4期膀胱癌的诊断准确率均为100. 0%。但T1、T2、T3期的诊断中,观察组患者采用的经腔内超声的诊断准确率要高于对照组经腹式超声检查,差异均有统计学意义(均P <0. 05)。结论在膀胱癌分期的临床诊断中,经腔内超声检查能够清晰呈现膀胱壁被肿瘤基底部浸润的深度,其应用效果要优于经腹式超声检查,可为临床早期诊断、鉴别膀胱癌提供参考依据,值得推广。

Objective To explore the diagnostic value of transluminal and transabdominal ultrasonography in the staging of bladder cancer.Method A total of 78 patients diagnosed with bladder cancer by surgical pathology at Nanjing Jiangning Hospital from January 2015 to May 2019 were included in this study.Patients examined by transluminal ultrasonography were included in the observation group and patients diagnosed by transabdominal ultrasonography were included in the control group with 39 patients in each group.The diagnostic results of the two groups were compared with those of the pathological examination.The diagnostic accuracy was compared between transluminal and transabdominal ultrasonography for bladder cancer.Result The diagnostic accuracy for stage T4 bladder cancer was 100.0%.However,diagnostic accuracy in in the observation group was significantly higher than in the control group for stage T1,T2 and T3 bladder cancer(P<0.05).Conclusion In the clinical diagnosis of bladder cancer,transluminal ultrasound can clearly show the depth of infiltration in the bladder wall.Its application effectiveness is better than transabdominal ultrasonography,which can provide reference for early diagnosis and differential diagnosis of bladder cancer,and is worthy of clinical popularization.