杜联芳,周洋,李凡,伍瑛,何颖倩.超声造影判断膀胱癌浸润程度及分期[J].中国医学影像技术,2007,23(12):1853~1855
超声造影判断膀胱癌浸润程度及分期
The application of contrast-enhanced ultrasound in the stage of bladder cancer
投稿时间:2007-07-16  修订日期:2007-09-01
DOI:
中文关键词:  超声造影  膀胱肿瘤  浸润程度
英文关键词:Contrast-enhanced ultrasound  Bladder neoplasms  Infiltrated degree
基金项目:上海市卫生局基金资助(044010)。
作者单位E-mail
杜联芳 上海交通大学附属第一人民医院超声科,上海 200080 du_lf@163.com 
周洋 上海交通大学附属第一人民医院超声科,上海 200080  
李凡 上海交通大学附属第一人民医院超声科,上海 200080  
伍瑛 上海交通大学附属第一人民医院超声科,上海 200080  
何颖倩 上海交通大学附属第一人民医院超声科,上海 200080  
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中文摘要:
      目的 探讨超声造影剂声诺维(Sono Vue)和对比脉冲序列成像技术(CPS)在判断膀胱癌浸润程度和分期中的价值。 方法 回顾分析32例超声造影和病理证实的膀胱癌患者的超声造影图像,判断膀胱癌的浸润程度及其分期。结果 造影提示:膀胱癌T1期14例,癌灶局限于膀胱黏膜层;T2期8例,癌灶侵犯膀胱壁浅层,但未突破深肌层;T3期9例,癌灶突破膀胱壁全层;T4期1例,癌灶侵犯了周围组织。病理证实膀胱癌T1期13例,T2例9例,T3期9例,T4期1例。超声造影判断膀胱癌浸润程度的准确性为93.75%。 结论 SonoVue超声造影可无创判断膀胱癌的浸润程度和分期。
英文摘要:
      Objective To explore the value of ultrasound contrast agent SonoVue and cadence contrast pulse sequencing technology (CPS, siemens) in the stage of bladder cancer. Methods The images of contrast-enhanced ultrasound,with 32 bladder cancers proven by enhanced-contrast ultrasound and bladder copes, were analyzed retrospectively. The stage of bladder cancer and the invaded degree were judged by enhanced-contrast ultrasound. Results In the 32 lesions, T1 stage cancer in 14 cases, limit to bladder mucous membrane; T2 stage cancer in 8 cases, lesions encroached bladder shallow muscle layers,but not affected deeper muscle layer; T3 stage cancer in 9 cases, lesions made a breakthrough bladder all layer; T4 stage cancer in 1 case, lesion infiltrated bladder surrounding tissues. Thirteen cases in T1 stage, 9 cases in T2 stage, 9 cases in T3 stage and 1 case in T4 by pathology. The accuracity of contrast-enhanced ultrasound in the decided the degree of baldder cancer was 93.75%. Conclusion The contrast-enhanced ultrasound can decide the degree of baldder cancer accurately and non-invasively.
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