国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
10期
1439-1442
,共4页
尿脱落细胞学检查%原发性输尿管癌%诊断
尿脫落細胞學檢查%原髮性輸尿管癌%診斷
뇨탈락세포학검사%원발성수뇨관암%진단
Urinary exfoliocytology examination%Primary carcinoma of ureter%Diagnosis
目的 探究尿脱落细胞学检查对于原发性输尿管癌的诊断价值.方法 回顾性分析2006年1月至2013年6月间来我院就诊的原发性输尿管癌患者62例,先经CT检查,再经尿脱落细胞学检查,最后所有患者均取样进行组织病理学诊断,比较分级、分期,并进行统计学评价.结果 尿脱落细胞学检查的总阳性率为85.5％,肿瘤分级为G1级69.2％和(G2 ～ G3)级94.4％,分期为(Ta ～ T1)期65.7％和(T2～T4)期88.9％,均高于CT检查,组间差异有统计学意义(P＜0.05);新鲜尿样诊断的准确率为79.0％,高于晨尿样本,但是晨尿样本中有4例未在新鲜尿样本中检出.结论 与CT检查相比,尿脱落细胞学检查的准确率更高,特别是在高分级和高分期肿瘤的阳性率更高,是一个值得深入研究的临床诊断方法.
目的 探究尿脫落細胞學檢查對于原髮性輸尿管癌的診斷價值.方法 迴顧性分析2006年1月至2013年6月間來我院就診的原髮性輸尿管癌患者62例,先經CT檢查,再經尿脫落細胞學檢查,最後所有患者均取樣進行組織病理學診斷,比較分級、分期,併進行統計學評價.結果 尿脫落細胞學檢查的總暘性率為85.5％,腫瘤分級為G1級69.2％和(G2 ～ G3)級94.4％,分期為(Ta ～ T1)期65.7％和(T2～T4)期88.9％,均高于CT檢查,組間差異有統計學意義(P＜0.05);新鮮尿樣診斷的準確率為79.0％,高于晨尿樣本,但是晨尿樣本中有4例未在新鮮尿樣本中檢齣.結論 與CT檢查相比,尿脫落細胞學檢查的準確率更高,特彆是在高分級和高分期腫瘤的暘性率更高,是一箇值得深入研究的臨床診斷方法.
목적 탐구뇨탈락세포학검사대우원발성수뇨관암적진단개치.방법 회고성분석2006년1월지2013년6월간래아원취진적원발성수뇨관암환자62례,선경CT검사,재경뇨탈락세포학검사,최후소유환자균취양진행조직병이학진단,비교분급、분기,병진행통계학평개.결과 뇨탈락세포학검사적총양성솔위85.5％,종류분급위G1급69.2％화(G2 ～ G3)급94.4％,분기위(Ta ～ T1)기65.7％화(T2～T4)기88.9％,균고우CT검사,조간차이유통계학의의(P＜0.05);신선뇨양진단적준학솔위79.0％,고우신뇨양본,단시신뇨양본중유4례미재신선뇨양본중검출.결론 여CT검사상비,뇨탈락세포학검사적준학솔경고,특별시재고분급화고분기종류적양성솔경고,시일개치득심입연구적림상진단방법.
Objective To discuss the diagnostic value of urinary exfoliocytology examination in primary carcinoma of ureter.Methods 62 cases of primary carcinoma of ureter in our hospital from Jan.2006 to Jun.2013 were retrospectively analyzed.All patients underwent CT and urinary exfoliocytology examination,pathological diagnosis with samples taken.Compared grades and stages.Results The overall positive rate of urinary exfoliocytology examination was 85.5％,69.2％ for tumor grade G1,94.4％ for tumor grade G2-G3,65.7％ for tumor stage T0-T1,and 88.9％ for tumor stage T2-T4,which were all higher than those of CT examination,with statistically significant differences (P＜0.05).The diagnostic accuracy of fresh-urine samples was 79.0％,higher than that of morning-urine samples.4 cases of morning-urine samples were not checked out in fresh-urine samples.Conclusion The accuracy rate of urinary exfoliocytology examination in primary carcinoma of ureter is higher than that of CT examination,especially among higher tumor grades and stages.Urinary exfoliocytology examination is a clinical diagnosis method worthy of further study.
