超声检查对膀胱肿瘤的诊断及鉴别诊断

Diagnosis and differential diagnosis of bladder tumor swassical tumors by ultrasound examination

目的:探讨确定彩色多普勒在膀胱肿瘤诊断中的可行性及准确度,减少漏诊率。方法:选取2014年7月—2019年6月门诊血尿,经超声检查为报告单诊断为膀胱占位或膀胱占位可能,经病理证实为膀胱癌病人59例。所有超声影像资料均保存在工作站中。结果:经超声诊断55例报告为膀胱肿瘤占位,恶性肿瘤45例,良性肿瘤6例。漏诊4例。恶性肿瘤的准确度为76.27%(45/59),误诊率为6.78%(4/59),良性肿瘤6例分别为:乳头状瘤3例,纤维瘤1例,平滑肌瘤1例,腺性膀胱炎1例。结论:彩色多普勒在膀胱肿瘤的诊断中因由超声检查的无创性,在诊断膀胱占位性病变上是首选,多切面,多体位的扫查可以提高肿瘤发现率,超声诊断正确率也能满足临床要求。

Objective To explore the feasibility and accuracy of color Doppler in the diagnosis of tumor of the bladder,and to reduce the rate of leakage.Methods Select edgy blood urine from July 2014 to June 2019,and after ultrasound examination as a reporting sheet diagnosed as bladder seat or bladder occupancy possible,pathologically confirmed as bladder cancer patients 59 cases.All ultrasound image data is stored in a workstation.Results 55 cases were reported as bladder tumors,45 cases of malignant tumors and 6 cases of benign tumors.4 cases of missed diagnosis.The accuracy of malignant tumors was 76.27%(45/59),the misdiagnosis rate was 6.78%(4/59),and the 6 cases of benign tumors were:3 cases of papilloma,1 case of fibroids,1 case of smooth fibroid,1 case of adenositis.Conclusion Color Doppler in the diagnosis of bladder tumor due to the non-invasive by ultrasound examination,in the diagnosis of bladder occupancy lesions is the first choice,polymented,multiposition scanning can improve tumor detection rate,ultrasound diagnosis accuracy rate can also meet clinical requirements.