共查询到18条相似文献,搜索用时 96 毫秒
1.
目的:对比经腹超声(TAUS)和经直肠超声(TRUS)在膀胱癌分期诊断中的价值。方法:采用TAUS和TRUS对40例膀胱癌进行分期诊断,并与手术病理结果对照分析。结果:TAUS对膀胱癌分期的总准确率为75.0%(30/40),TRUS对膀胱癌分期的总准确率为90.0%(36/40),二者有显著差异(P﹤0.05)。结论:TRUS可更清晰地显示肿瘤基底部浸润膀胱壁的深度,对膀胱癌分期的准确率明显优于TAUS。 相似文献
2.
目的:探讨经腹及直肠超声对膀胱癌诊断和分期价值。方法:应用腹部及直肠超声诊断28例膀胱癌病例并与手术后分期及病理对照。结果:超声能显示肿瘤本身的数目形态、大小、位置、分期,28例膀胱癌中,超声诊断与手术后病理诊断符合率为89.2%(25/28),超声分期与病理分期对照符合率85.6%。结论:超声诊断膀胱癌及术前分期在临床上具有实用价值。 相似文献
3.
《中国肿瘤临床与康复》2019,(9)
目的探讨经腔内与经腹式超声对膀胱癌分期的诊断价值。方法选取2015年1月至2019年5月间南京市江宁医院收治的经病理学检查确诊的78例膀胱癌患者纳入本研究,将经腔内超声检查的39例患者纳入观察组,经腹式超声诊断检查的39例患者纳入对照组,将两组患者的诊断结果与病理学检查结果进行比较,探讨两种诊断方法的准确率。结果两组患者T4期膀胱癌的诊断准确率均为100. 0%。但T1、T2、T3期的诊断中,观察组患者采用的经腔内超声的诊断准确率要高于对照组经腹式超声检查,差异均有统计学意义(均P <0. 05)。结论在膀胱癌分期的临床诊断中,经腔内超声检查能够清晰呈现膀胱壁被肿瘤基底部浸润的深度,其应用效果要优于经腹式超声检查,可为临床早期诊断、鉴别膀胱癌提供参考依据,值得推广。 相似文献
4.
《中国肿瘤临床与康复》2017,(3)
目的探讨经腹超声联合经阴道超声检查对卵巢肿瘤的诊断价值。方法选取2012年6月至2016年6月间海南省中医院收治的80例卵巢肿瘤患者作为研究对象,分别对患者进行经腹超声、经阴道超声检查以及联合检查,观察比较3种检查方式的诊断结果,并与病理诊断结果进行比较。结果经腹超声联合经阴道超声检查对恶性肿瘤的诊出率(23.8%)高于经腹部超声检查恶性卵巢肿瘤诊出率(15.0%)以及经阴道超声检查恶性卵巢肿瘤诊出率(17.5%),差异均有统计学意义(均P<0.05)。与病理分期结果相比,对于Ⅲ、Ⅳ期恶性肿瘤,联合检查的诊断符合率分别为87.5%和85.7%,明显高于单独经腹超声或经阴道超声检查,差异均有统计学意义(均P<0.05)。良性、恶性卵巢肿瘤血流动力学最大峰值(PSV)、平均流速(Vm)、搏动指数(PI)和阻力指数(RI)等指标进行比较,差异均有统计学意义(均P<0.05)。结论经腹超声联合经阴道超声检查对卵巢肿瘤的诊断价值高,尤其对恶性肿瘤的诊断,值得广泛推广。 相似文献
5.
6.
背景与目的:直肠癌是常见的消化道肿瘤,不同分期的肿瘤选择的治疗方式也不相同,而准确的术前分期是指导外科治疗的前提条件。直肠腔内三维超声(3D-transrectal ultrasound,3D-TRUS)检查能清楚地显示5层肠壁结构、直肠周围邻近器官及肠周有无肿大淋巴结,目前被认为是直肠癌术前分期较准确的方法之一,该研究旨在探讨3D-TRUS对直肠癌术前分期的价值。方法:对59例直肠癌患者术前行3D-TRUS检查并作出术前分期,与术后病理分期进行对比。结果:59例直肠癌患者中,3D-TRUS对直肠癌T分期诊断的总准确率为93.2%,与病理T分期的一致性较好(kappa=0.814,P<0.005);3D-TRUS对直肠癌N分期诊断的总准确率为76.3%,与病理N分期的一致性较差(kappa=0.219,P>0.05)。结论:直肠腔内三维超声对直肠癌术前T分期有着较高的准确率,N分期准确率较差,但因为操作简便,患者痛苦少,性价比较高,目前仍是直肠癌术前分期诊断有效的检查方法。 相似文献
8.
9.
10.
目的:探讨经直肠超声联合超声造影鉴别诊断直肠间质瘤与直肠癌的价值。方法:对已确诊的12例直肠间质瘤组常规超声及超声造影特点进行总结,并与24例直肠癌组的超声特征进行对比分析。结果:本组12例直肠间质瘤,其中低度危险程度间质瘤1例,中度危险程度间质瘤1例,高度危险程度间质瘤10例。直肠间质瘤组与直肠癌组在常规超声显示的肿瘤位置、大小、形态、边界、内部回声、周围淋巴结转移的差异均有统计学意义。直肠间质瘤的超声造影显示造影剂进入慢、退出快,且整体增强强度低。结论:直肠间质瘤常规超声及造影表现具有相对特征性,有助于提高直肠间质瘤与直肠癌的鉴别诊断价值。 相似文献
11.
王彤 《中国肿瘤临床与康复》2014,(8):928-930
目的探讨彩色多普勒超声对肾癌诊断和分期的应用价值。方法选取2008年12月至2013年12月间收治的120例经术后病理证实为肾癌的患者,所有患者术前均进行了彩色多普勒超声检查和CT检查,分析患者超声和CT图像特征,比较二者的诊断准确率和分期符合率。结果超声和CT诊断肾癌的准确率分别为87.5%和91.7%,差异无统计学意义(P>0.05);超声和CT分期符合率分别为82.5%和79.2%,差异无统计学意义(P>0.05)。结论与后病理比较,彩色多普勒超声检查对肾癌的分期具有较高的符合率。超声检查有望成为肾癌检查手段,并能为肾癌患者的临床治疗和预后提供参考依据。 相似文献
12.
13.
The role of USI and three-dimentional volumetric reconstruction was studied in diagnosis of urinary bladder cancer diagnosis. 69 UBC patients were examined. Examination included renal USI of the kidneys, urinary bladder, prostate, echoureterography, cystoscopy, CT, MRT. The number of the tumors, volume, area, invasion were studied in 3D mode. US angiography assessed resistance index and tumor vascularization by degrees 0-3. USI findings were compared with those of MRT, cystoscopy, histomorphology of the biopsies. 2D USI technique proved effective in detection of urinary bladder cancer at stage T1 in 66%, 3D in 100. At stage T2a-b informative value of both techniques reached 87%. Overall informative value of 2D in detection of urinary bladder cancer was 81%, three-dimentional echography--96%. USI proved effective in diagnosis and staging of urinary bladder cancer. Use of 3D ultrasonic angiography facilitates the choice of more effective surgical policy in the treatment of urinary bladder cancer patients. 相似文献
14.
15.
Levy MJ Wiersema MJ 《Oncology (Williston Park, N.Y.)》2002,16(1):29-38, 43; discussion 44, 47-9, 53-6
Patients with signs and symptoms suggestive of a pancreatic neoplasm typically undergo initial imaging with transabdominal ultrasound or computed tomography. This evaluation often reveals the presence of a pancreatic mass or fullness. At times, the nature of the lesion is poorly characterized, with uncertainty remaining as to whether the lesion is an inflammatory mass or a neoplasm, and if it is cystic or solid. In these circumstances, endoscopic procedures such as endoscopic retrograde cholangiopancreatography and/or endoscopic ultrasound may be required. These procedures offer other means of tissue sampling, disease staging, and an option for palliative therapy. In this article, we review the role of endoscopy for the diagnosis and staging of pancreatic tumors, with a particular focus on endoscopic ultrasound. 相似文献
16.
目的 通过与术后病理分期标准的比较,探讨《非手术治疗食管癌的临床分期标准(草案)》的分布合理性及判断预后的价值。方法 回顾分析2009—2012年间本院根治手术或术后辅助治疗的 162例食管癌患者临床资料,对其进行术前临床分期及术后病理分期,并采用Kappa法分析两种分期间各期病例分布一致性。Kaplan-Meier法计算OS率并Logrank法检验差异和单因素分析。结果 T、N、TNM分期总符合率分别为67.9%、57.4%、67.9%,一致性程度分别为中等、较差、中等(Kappa=0.544、0.302、0.509)。随访率为93.2%,1、2、3年样本数分别为127、66、27例。全组1、2、3年OS率分别为82.6%、56.2%、37.7%。术前除了T1与T2期、N0与N1期OS相近外(P=0.086、0.101),T、N、TNM分期各期间OS均不同(P=0.000~0.028),与术后病理分期对预后判断的预示作用一致。结论 《非手术治疗食管癌的临床分期标准(草案)》的分布合理性一般,预后判断价值较好,但仍需进一步细化和完善。 相似文献
17.
18.
Eissa S Swellam M Amin A Balbaa ME Yacout GA El-Zayat TM 《Medical oncology (Northwood, London, England)》2011,28(2):513-518
The aim of the present study was to evaluate the diagnostic relevance of urinary fibronectin (FN), telomerase (RTA), and cytokeratin
20 (CK20) mRNA in comparison with voided urine cytology (VUC). The study included 132 patients with bladder cancer, 60 patients
with benign bladder lesions, and 48 healthy individuals. All were subjected to urine cytology, estimation of fibronectin by
ELISA, RTA by TRAP, and CK20 mRNA by conventional RT–PCR in urothelial cells from voided urine. The best cutoff point for
FN was determined by receiver operating characteristic curve (41.7 ng/mg protein) revealed the highest sensitivity for malignant
(80%) followed by the benign (70%) than the healthy individuals (4.1%) at P < 0.001. Also, RTA and VUC showed significant difference among the three investigated groups (P < 0.001). The overall sensitivity (89.3%) and specificity (98.4%) were the highest for CK20 mRNA. Combined sensitivity of
VUC with FN, RTA, and CK20 mRNA together (98.4%) was higher than either the combined sensitivity of VUC with any of them or
than that of the biomarker alone. Accordingly, when the diagnostic efficacy was considered, CK20 mRNA had the highest sensitivity
and specificity compared to all investigated markers. 相似文献