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目的评价肾盂移行细胞癌术前诊断的方法。方法回顾性分析24例肾盂移行细胞癌(TCC)患者的临床资料。肿瘤位于右侧16例,左侧8例。对B超或彩超、超声造影(CEUS)、静脉尿路造影(IVU)、逆行肾盂造影(RP)、CT、磁共振成像(MRI)或磁共振尿路造影(MRU)、尿液脱落细胞学检查的敏感性进行比较。结果B超或彩超、CEUS、IVU、RP、CT、MRI或MRU、尿液脱落细胞学检查对肾盂移行细胞癌的诊断敏感度分别为52.2%、100%、21.4%、85.7%、88.9%、66.7%、46.2%。结论B超或彩超、IVU可作为肾盂癌的初步检查方法,CT在术前诊断及分期中起重要作用,CEUS等新技术的应用为肾盂癌的术前诊断提供了新的方法。
Objective To evaluate the preoperative diagnosis of renal pelvis transitional cell carcinoma. Methods The clinical data of 24 patients with renal pelvis transitional cell carcinoma (TCC) were retrospectively analyzed. Tumors were located on the right side in 16 cases and on the left side in 8 cases. CEUS, IVU, retrograde pyelography (RP), CT, magnetic resonance imaging (MRI) or magnetic resonance urography (MRU), urine exfoliative cytology Check the sensitivity of the comparison. Results The diagnostic sensitivity of urine exfoliative cytology to renal pelvis transitional cell carcinoma was 52.2%, 100%, 21.4%, 85.7%, 88.9% respectively by B ultrasound or ultrasonography, CEUS, IVU, RP, CT, MRI or MRU. 66.7%, 46.2%. Conclusions B ultrasound or ultrasonography and IVU can be used as the primary examination method for renal pelvic cancer. CT plays an important role in the preoperative diagnosis and staging. The application of CEUS and other new techniques provides a new method for the preoperative diagnosis of renal pelvic cancer.