多层螺旋CT在膀胱癌患者中的临床效果及对预后的影响研究

Clinical effect of multi-slice spiral CT in patients with bladder cancer and its influence on prognosis

目的 :探讨多层螺旋CT在膀胱癌患者中的临床效果及对预后的影响。方法:选择2015年3月—2017年5月科室收治的膀胱癌患者32例,患者均经过手术组织病理学检查得到确诊。入院后患者均采用16层螺旋CT进行检查,将获得的数据传输到CT工作站完成三维图像后处理,将多层螺旋CT结果与手术病理学结果进行比较,分析多层螺旋CT在膀胱癌患者中的临床效果及对预后的影响。结果:32例膀胱癌患者均经过多层螺旋CT最终得到确诊,患者中26例发生在膀胱三角区,4例发生在右侧壁,2例发生在左侧壁。根据肿瘤大小部位及生长方式不同表现形式各异,多表现为突入膀胱内的软组织肿块,呈丘状、半丘状或菜花状,螺旋CT平扫CT值为20～40HU,24例浸润性生长且伴有膀胱壁不过则增厚、僵硬,8例侵犯直肠前壁膀胱,肠壁僵硬。结合冠状位、矢状位清晰显示轮廓与膀胱壁关系,反应盆腔内流细胞转移部位。32例患者均在多层螺旋CT下取得手术成功。结论:将多层螺旋CT用于膀胱癌患者诊断中效果理想,能清晰的显示病灶部位及与周围组织的关系,值得推广应用。

Objective To investigate the clinical effect of multi-slice spiral CT in patients with bladder cancer and its influence on prognosis. Methods 32 patients with bladder cancer were selected from March 2015 to May-2017 in our department. All patients were diagnosed by operation pathological examination. After admission, the patients were treated with 16 slice spiral CT examination, the received data is transmitted to CT workstation to complete the three-dimensional image postprocessing, the multi-slice spiral CT results with surgical pathology results were compared, analysis of the clinical effect of multi-slice spiral CT in patients with bladder cancer and its effect on prognosis. Results 32 cases of bladder cancer were confirmed by multi-slice spiral CT, 26 cases occurred in the bladder triangle area, 4 cases occurred in the right wall,2 cases occurred in the left wall. According to tumor size and growth pattern of different parts of different forms, more performance for the soft tissue mass protruding into the bladder, a dome shaped, half dome shaped or cauliflower, spiral CT scan CT value of 20 ～ 40 HU, 24 cases of invasive growth with bladder wall thickening, but is stiff, 8 cases of rectal invasion the wall of the bladder, bowel wall stiffness. Combined with coronal and sagittal position, the relationship between the contour and bladder wall was clearly displayed, and the location of pelvic fluid metastasis was observed. 32 patients were successfully operated under multi-slice spiral CT. Conclusion The effect of multi-slice spiral CT in the diagnosis of bladder cancer is ideal, and it can clearly display the location of the lesion and the relationship with the surrounding tissue, so it is worthy of popularization and application.