腹部超声联合MSCT增强扫描在诊断膀胱癌中的应用

目的分析腹部超声联合MSCT增强扫描在诊断膀胱癌中的应用。方法回顾性分析我院2015年9月至2018年9月收治的疑似膀胱癌患者89例,所有患者均实施腹部超声、MSCT增强扫描、手术病理学确诊,并将手术病理学诊断结果作为金标准,观察膀胱癌使用腹部超声、MSCT增强扫描分别及联合与金标准一致性,并计算诊断效能。结果手术病理学诊断89例患者中膀胱癌患者81例(91.01%),其中分别使用腹部超声、MSCT增强扫描与病理学诊断结果存在一致性(Kappa>0.4),实施腹部超声联合MSCT增强扫描诊断与病理学诊断结果一致性较好(Kappa>0.7)。膀胱癌实施腹部超声联合MSCT增强扫描诊断灵敏度、特异度、准确率、阳性预测值、阴性预测值均高于单独诊断,其中灵敏度、准确率与较腹部超声诊断结果比较,差异有统计学意义(P<0.05)。结论膀胱癌实施腹部超声联合MSCT增强扫描诊断效能较好,且诊断灵敏度、准确率均优于腹部超声,临床诊断价值较高。

Application of Abdominal Ultrasound Combined with MSCT Enhanced Scan in the Diagnosis of Bladder Cancer

Objective To analyze the application of abdominal ultrasound combined with MSCT enhanced scan in the diagnosis of bladder cancer. Methods 89 patients suspected as bladder cancer admitted to our hospital from September 2015 to September 2018 were retrospectively analyzed, and all patients were given abdominal ultrasound, MSCT enhanced scan and surgical pathology diagnosis, and the results of surgical pathology diagnosis were taken as gold standards, and the consistency abdominal ultrasound, MSCT enhanced scan and combined examination of bladder cancer with the gold standards was observed, and the diagnostic efficacy was calculated. Results 81 patients(91.01%) with bladder cancer among 89 cases were diagnosed by surgical pathology, and there was a consisttency between abdominal ultrasound or MSCT enhanced scan and pathological diagnosis(Kappa>0.4), and there was a good consistency between abdominal ultrasound combined with MSCT enhanced scan and pathological diagnosis(Kappa>0.7). The sensitivity, specificity, accuracy rate, positive predictive value and negative predictive value of bladder cancer by abdominal ultrasound combined with MSCT enhanced scan were higher than those of single diagnosis, and there were statistically significant differences in the sensitivity and accuracy rate compared with the diagnostic results of abdominal ultrasound(P<0.05). Conclusion Abdominal ultrasound combined with MSCT enhanced scan has better diagnostic efficacy in the diagnosis of bladder cancer, and its diagnostic sensitivity and accuracy rate are better than those of abdominal ultrasound, and it has higher clinical diagnostic value.