中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
Chinese Journal of the Frontiers of Medical Science (Electronic Version)
2015年
9期
107-110
,共4页
多层螺旋CT%膀胱癌%膀胱镜%三维成像
多層螺鏇CT%膀胱癌%膀胱鏡%三維成像
다층라선CT%방광암%방광경%삼유성상
Multi-slice spiral CT%Bladder carcinoma%Cystoscope%Three-dimensional imaging
目的：探讨多层螺旋CT三维成像技术对膀胱癌的诊断价值。方法选取本院就诊的有血尿史且高度怀疑为膀胱癌的患者60例为研究对象，分别采用多层螺旋CT扫描及图像后处理与纤维膀胱镜检查并取组织标本活检，比较分析两种检测方法对膀胱癌的检出情况及对膀胱癌不同病灶的发现情况，并分析多层螺旋CT三维成像技术对膀胱癌诊断的真实性和准确性。结果60例患者中行纤维膀胱镜检查及病理活检后共54例确诊为膀胱癌，多层螺旋CT三维成像技术检出膀胱癌患者50例，多层螺旋CT三维成像技术与纤维膀胱镜对三角区、右侧壁及左侧壁膀胱癌病灶的检出率比较差异均无显著性（P＞0.05）；多层螺旋CT三维成像技术对膀胱癌诊断的灵敏度为90.7%，特异度为83.3%，阳性预测值为98.0%，阴性预测值为50.0%，正确指数为74.0%。结论多层螺旋CT三维成像技术对膀胱癌的检出率较高，具有一定的诊断价值。
目的：探討多層螺鏇CT三維成像技術對膀胱癌的診斷價值。方法選取本院就診的有血尿史且高度懷疑為膀胱癌的患者60例為研究對象，分彆採用多層螺鏇CT掃描及圖像後處理與纖維膀胱鏡檢查併取組織標本活檢，比較分析兩種檢測方法對膀胱癌的檢齣情況及對膀胱癌不同病竈的髮現情況，併分析多層螺鏇CT三維成像技術對膀胱癌診斷的真實性和準確性。結果60例患者中行纖維膀胱鏡檢查及病理活檢後共54例確診為膀胱癌，多層螺鏇CT三維成像技術檢齣膀胱癌患者50例，多層螺鏇CT三維成像技術與纖維膀胱鏡對三角區、右側壁及左側壁膀胱癌病竈的檢齣率比較差異均無顯著性（P＞0.05）；多層螺鏇CT三維成像技術對膀胱癌診斷的靈敏度為90.7%，特異度為83.3%，暘性預測值為98.0%，陰性預測值為50.0%，正確指數為74.0%。結論多層螺鏇CT三維成像技術對膀胱癌的檢齣率較高，具有一定的診斷價值。
목적：탐토다층라선CT삼유성상기술대방광암적진단개치。방법선취본원취진적유혈뇨사차고도부의위방광암적환자60례위연구대상，분별채용다층라선CT소묘급도상후처리여섬유방광경검사병취조직표본활검，비교분석량충검측방법대방광암적검출정황급대방광암불동병조적발현정황，병분석다층라선CT삼유성상기술대방광암진단적진실성화준학성。결과60례환자중행섬유방광경검사급병리활검후공54례학진위방광암，다층라선CT삼유성상기술검출방광암환자50례，다층라선CT삼유성상기술여섬유방광경대삼각구、우측벽급좌측벽방광암병조적검출솔비교차이균무현저성（P＞0.05）；다층라선CT삼유성상기술대방광암진단적령민도위90.7%，특이도위83.3%，양성예측치위98.0%，음성예측치위50.0%，정학지수위74.0%。결론다층라선CT삼유성상기술대방광암적검출솔교고，구유일정적진단개치。
ObjectiveTo explore the clinical value of the multi-slice spiral CT three-dimensional imaging in the diagnosis of bladder carcinoma.MethodCollected 60 patients who had the history of hematuria and suspected bladder carcinoma in our hospital as objects of study, adopted multi-slice spiral CT three-dimensional imaging and ifber cystoscopy and biopsy of tissue specimen, compared the detection rate of bladder carcinoma and the different lesions found in bladder carcinoma between the two methods, analyzed the authenticity and reliability of multi-slice spiral CT three-dimensional imaging on bladder carcinoma.Result54 cases of bladder carcinoma were detected from 60 cases of patients by using ifber cystoscopy and biopsy, 50 cases of patients with bladder carcinoma were detected from 60 cases of patients by using multi-slice spiral CT three-dimensional imaging, the differences of detection rate of bladder trigone, wall of the right side and the left side of the bladder carcinoma lesions between multi-slice spiral CT three-dimensional imaging and ifber cystoscopy were not signiifcantly different (P>0.05); sensitivity of multi-slice spiral CT three-dimensional imaging in the diagnosis of patients with bladder carcinoma was 90.7%, speciifcity was 83.3%, positive predictive value was 98.0%, negative predictive value was 50.0%, the correct index was 74.0%.ConclusionMulti-slice spiral CT three-dimensional imaging has high detection rate on bladder carcinoma, it has accurate and reliable value.
