经腹超声、CT尿路成像诊断膀胱癌与病理诊断的一致性分析

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Abstract Objective To study the consistency between the diagnosis of bladder cancer and pathological diagnosis by by transabdominal ultrasound (TAUS) and to computed tomography urography (CTU). Methods A total of 125 patients with suspected bladder cancer admitted to Wuhu Second People’s Hospital from October 2014 to December 2018 were included as the research subjects. All patients underwent TAUS and CTU examinations before surgery, and the surgical pathological diagnosis results were used as the gold standard. The consistency of TAUS, CTU diagnosis of bladder cancer and pathological results were analyzed, and the consistency of TAUS, CTU diagnosis of bladder urothelial cell carcinoma and pathological results were observed. Results Among 125 suspected bladder cancer patients, TAUS diagnosis showed 115 malignant lesions and 10 benign lesions, CTU diagnosis showed 118 malignant lesions and 7 benign lesions. The sensitivity of TAUS and CTU in the diagnosis of bladder cancer was 92.56% and 96.69%, the specificity was 25.00% and 75.00%, the accuracy was 90.40% and 96.00%, and the Kappa values of the consistency test with pathological diagnosis were 0.10 and 0.53, respectively. The sensitivity of TAUS and CTU in the diagnosis of bladder urothelial carcinoma were 89.08% and 94.12%, the specificity was 66.67% and 83.33%, and the accuracy was 88.00% and 93.60%, and the Kappa values of the consistency test with pathological diagnosis were 0.30 and 0.53, respectively. Conclusion TAUS and CTU have important application value in bladder cancer diagnosis.

Key words： Transabdominal ultrasound Computed tomography urography Bladder cancer Urothelial carcinoma of bladder

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	ZHA Zongyu WANG Junli▲ HE Yong HU Aili

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ZHA Zongyu WANG Junli▲ HE Yong HU Aili. Analysis of the consistency between transabdominal ultrasound and computed tomography urography in the diagnosis of bladder cancer and pathological diagnosis[J]. 中国医药导报, 2021, 18(4): 139-142,154.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I4/139

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