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1 临床资料 膀胱癌35例,男28例,女7例,男女之比4:1,年龄32～80岁,以43～66岁为最多。全部病例均有间断性或持续性无痛性肉眼血尿,最短10d,最长达10年。伴有或不伴有尿路刺激症。 2 方法 仪器采用EUB-40型、Aloka-630型超声诊断仪,探头频率3.5mHz。膀胱充盈下患者取仰卧位,下腹部膀胱区行横切、纵切扫查,必要时转动体位,仔细观察膀胱变化及肿块的形态大小。 3 结果 本组35例中,术前超声诊断膀胱癌33例,膀胱内凝血块1例,未检出1例,诊断符合率93.3％。其中23例为单发,12例为多发。肿瘤最大7.3cm×6.3cm,最小0.3cm×0.3cm。均有膀胱镜对照检查,并经手术证实。病理诊断低分化腺癌2例,移行上皮细胞癌或细
1 Clinical data 35 cases of bladder cancer, 28 males and 7 females, male to female ratio of 4: 1, aged 32 to 80 years old, 43 to 66 years of age. All cases were intermittent or persistent painless gross hematuria, the shortest 10d, up to 10 years. With or without urinary tract irritation. 2 Methods The instrument used EUB-40 type, Aloka-630-type ultrasonic diagnostic apparatus, probe frequency 3.5mHz. Patients under bladder filling supine position, the lower abdomen bladder area line transection, longitudinal scanning, if necessary, rotation position, carefully observe the shape of the bladder changes and tumor size. 3 Results 35 patients in this group, preoperative diagnosis of bladder cancer 33 cases of intracapsular clot in 1 case, not detected in 1 case, the diagnostic accuracy rate of 93.3%. 23 cases were solitary and 12 cases were multiple. Tumor up to 7.3cm × 6.3cm, the smallest 0.3cm × 0.3cm. Cystoscopy were checked, and confirmed by surgery. Pathological diagnosis of poorly differentiated adenocarcinoma in 2 cases, transitional cell carcinoma or fine