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目的:探讨超声在膀胱占位性病变诊断及鉴别诊断中的价值。方法:回顾性分析45例膀胱占位性病变的声像图特征,并与病理结果对照分析。结果:45例膀胱占位性病变中恶性肿瘤42例,其中移行细胞癌37例,腺癌2例,鳞癌2例,低分化癌1例;良性病变3例,均为腺性膀胱炎。术前超声诊断对膀胱恶性肿瘤的诊断符合率为83%,对良性病变诊断的符合率为100%。结论:超声对膀胱占位性病变有较高的诊断价值,膀胱癌早期超声诊断容易误诊。
Objective: To investigate the value of ultrasound in the diagnosis and differential diagnosis of bladder space lesions. Methods: A retrospective analysis of 45 cases of bladder space lesions of the sonographic features, and pathological results of controlled analysis. Results: Twenty-four cases of malignant tumor in bladder space were diagnosed in 45 cases, including 37 cases of transitional cell carcinoma, 2 cases of adenocarcinoma, 2 cases of squamous cell carcinoma and 1 case of poorly differentiated carcinoma. 3 cases of benign disease were cystitis glandularis. The coincidence rate of preoperative ultrasound diagnosis of bladder cancer was 83%, and the coincidence rate of benign lesions was 100%. Conclusion: Ultrasound has a high diagnostic value in bladder space occupying lesions. Early diagnosis of bladder cancer is easily misdiagnosed.