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目的探讨CT检查对膀胱癌早期诊断的临床价值。方法回顾性总结经膀胱镜活检、手术病理证实10例膀胱癌早期的CT表现。结果本组10例膀胱癌CT检查发现9例癌肿位于膀胱壁单发,直径0.5~3.2 cm大小不等突向腔内软组织影,1例为局限性虫蚀状充盈缺损。同时伴局部膀胱壁增厚7例。结论螺旋CT检查对膀胱癌早期诊断具有优势,发现率高,多期增强扫描、薄层重建、三维及多方位观察能提高检出率。
Objective To investigate the clinical value of CT in the early diagnosis of bladder cancer. Methods retrospectively reviewed by cystoscopy biopsy, pathology confirmed 10 cases of early bladder CT manifestations. Results In this group of 10 cases of bladder cancer CT examination found that 9 cases of cancer located in the bladder wall solitary, diameter 0.5 ~ 3.2 cm in size projecting into the cavity of the soft tissue shadow, and 1 case of limited erosion-like filling defect. At the same time with local bladder wall thickening in 7 cases. Conclusion Spiral CT examination has the advantages of early diagnosis of bladder cancer, high detection rate, multi-phase enhanced scan, thin layer reconstruction, three-dimensional and multi-directional observation can improve the detection rate.