多层螺旋CT在膀胱癌术前分期中的应用价值  

Application Value of Multislice Spiral CT in Preoperative Staging of Bladder Carcinoma

作　　者：孙立辉[1] 郝金钢[2] 黄芩[3] 

机构地区：[1]深圳市第二人民医院放射科,广东深圳518112 [2]昆明医科大学第二附属医院放射科,云南昆明650101 [3]昆明医科大学,云南昆明650031

出　　处：《昆明医科大学学报》2012年第5期104-106,共3页Journal of Kunming Medical University

基　　金：云南省应用基础研究计划专项基金资助项目(2011FZ128)

摘　　要：目的探讨多层螺旋CT检查在膀胱癌术前分期中的应用价值.方法收集经手术后病理证实的38例膀胱癌患者,术前均行多层螺旋CT检查(平扫、动态增强扫描),将CT影像特点与病理分期进行对比.结果 CT对膀胱癌术前检查的结果与病理对照符合率为76.3%,其中T1期5例,T2a期10例,T2b期11例,T3期8例,T4期8例;病理T分期:T1期4例,T2a期8例,T2b期14例,T3期11例,T4期5例.结论 CT对膀胱癌的术前分期有较高的准确性,可作为膀胱癌术前常规检查.Objective To discuss the application value of enhanced scans by thin slice CT in clinical staging of pre-operation bladder carcinoma.Methods We collected 38 patients with bladder carcinomas who were proved by operation or pathology,Scans and Enhanced scans by thin slice spiral CT were performed.All the diagnosis results were compared with the results of surgical pathology.Results The total accuracy in the diagnosis of bladder carcinoma with spiral CT was 76.2%,where T1 5 cases,T2a 10 cases,T2b 11 cases,T3 8 cases,T4 8 cases.Pathological T stage:T1 4 cases,T2a 8 cases,T2b in 14 cases,T3 11 cases,T4 5 cases.Conclusions Spiral CT has high value in preoperative staging of bladder carcinoma.It could be adopted as a conventional examination of bladder carcinoma before operation.

关 键 词：膀胱癌 膀胱癌分期 CT增强扫描 

分 类 号：R445.3[医药卫生—影像医学与核医学]