静脉尿路造影和经腹B超对膀胱癌诊断价值的比较

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57.1(32/56)和92.9(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<0.05);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。

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 B-diagnostic accuracy of bladder cancer.Results The intravenous urography and abdominal B ultrasound diagnosis of bladder cancer with pathological diagnosis rate was 57.1%（32/56） and 92.9%（52/56）,for high grade bladder cancer and tumors larger Patients with abdominal B-ultrasound accuracy is higher.Conclusion Transabdominal B-can be used as painless hematuria as the first symptom of bladder cancer,primary screening methods;IVU low prices for basic hospital and screening lesions.