静脉尿路造影和经腹B超对膀胱癌诊断价值的比较

Comparison of the values of IVU and transabdominal ultrasonography in diagnosis of bladder carcinoma

目的:探讨静脉尿路造影(IVU)和经腹B超在原发性膀胱癌和复发性膀胱癌诊断中的价值。方法:对173例原发性膀胱癌和156例复发膀胱癌病例均行病理、膀胱镜检查、IVU与肾输尿管和膀胱B超检查。结果:173例原发性膀胱癌中IVU检出率59.0%,B超检出率92.5%,23例上尿路异常两者均同时检出;156例复发性膀胱癌中IVU检出率66.7%,B超检出率71.8%,26例上尿路异常两者均同时检出。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选筛选方法,对原发性和复发性膀胱癌均有较高的价值;IVU不必列为常规检查,甚至可以省去。

Objective：This work was performed to study the values of IVU and transabdominal ultrasonography in diagnosis of primary bladder carcinoma and recurring bladder carcinoma. Methods： 173 case files of primary bladder carcinoma and 156 case files of recurring bladder carcinoma, each of which includes concrete examination files by pathological methods, cystoscopy, IVU, and transabdominal B ultrasonography through kidney renal duct as well as bladder. Results：Of the 173 case files of primary bladder carcinoma, 59.0 %, 92.5 % are detection rates of tumor respectively by IVU, B ultrasound, and that of abnormal upper urinary tract by both IVU and B ultrasound is23 case files; of the 156 case files of recurring bladder carcinoma, however, 66.7 %, 71.8 % are detection rates of tumor respectively by IVU, B ultrasound, and that of abnormal upper urinary tract by both IVU and B ultrasound is26 case files. Conclusions：B ultrasound through abdomen seems to be the first screening technique in diagnosing bladder carcinoma, the first symptom of which is painless hematuria and has displayed relatively high effects in primary and recurring bladder carcinoma. Hence, IVU is dispensable and can be saved.