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基于三维重建算法的计算机断层成像术老年非肌层浸润性膀胱癌患者的预后分析及围手术期研究。

Prognosis Analysis and Perioperative Research of Elderly Patients with Non-Muscle-Invasive Bladder Cancer under Computed Tomography Image of Three-Dimensional Reconstruction Algorithm.

机构信息

Department of Geriatrics, Zhejiang Hospital, Hangzhou 310000, Zhejiang, China.

Department of Urology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310000, Zhejiang, China.

出版信息

Contrast Media Mol Imaging. 2022 Jun 6;2022:6168528. doi: 10.1155/2022/6168528. eCollection 2022.

Abstract

To analyze the application value of computed tomography (CT) based on a three-dimensional reconstruction algorithm in perioperative nursing research and prognosis analysis of non-muscle-invasive bladder cancer (NMIBC), a retrospective study was performed on 124 patients with NMIBC who underwent surgical treatment in the hospital. All patients underwent CT examination based on the three-dimensional reconstruction algorithm before surgery, and transurethral resection of the bladder tumor was performed. The patients receiving conventional care were classified as the control group, and those receiving comprehensive care were classified as the case group, and the recovery status and recurrence of the two groups were compared. The results showed that the accuracy, specificity, and sensitivity of CT imaging information based on the three-dimensional reconstruction algorithm for NMIBC patients were 89.38, 93.77, and 84.39, respectively. The incidence of bladder spasm (9.68%), bladder flushing time (1.56 d), and retention of drainage tube time (2.68 d) in the case group were obviously lower compared with the control group (30.65%, 2.32 d, and 5.19 d) ( < 0.05). Serum BLCA-1 (3.72 ng/mL) and CYFRA21-1 (5.68 g/mL) in the case group were significantly lower than those in the control group, with a statistically considerable difference ( < 0.05). Compared with the control group, the scores of role function (89.82 points), emotional function (84.76 points), somatic function (79.23 points), and social function (73.93 points) in the case group were observably higher ( < 0.05). In addition, one year after the operation, CT examination showed that the recurrence rate in the case group (6.45%) was significantly lower than that in the control group (22.58%) ( < 0.05). Therefore, CT detection based on the three-dimensional reconstruction algorithm was particularly important for preoperative diagnosis, prognosis, and recurrence monitoring of NMIBC patients. It could provide great clinical value for the diagnosis and prognosis monitoring of NMIBC.

摘要

为了分析基于三维重建算法的计算机断层扫描(CT)在非肌肉浸润性膀胱癌(NMIBC)围手术期护理研究和预后分析中的应用价值,对在我院接受手术治疗的 124 例 NMIBC 患者进行了回顾性研究。所有患者术前均行基于三维重建算法的 CT 检查,并进行经尿道膀胱肿瘤切除术。接受常规护理的患者被分为对照组,接受综合护理的患者被分为病例组,比较两组患者的恢复状况和复发情况。结果显示,基于三维重建算法的 CT 成像信息对 NMIBC 患者的准确性、特异性和灵敏度分别为 89.38%、93.77%和 84.39%。病例组膀胱痉挛发生率(9.68%)、膀胱冲洗时间(1.56 d)和引流管留置时间(2.68 d)明显低于对照组(30.65%、2.32 d 和 5.19 d)( < 0.05)。病例组血清 BLCA-1(3.72 ng/mL)和 CYFRA21-1(5.68 g/mL)明显低于对照组,差异具有统计学意义( < 0.05)。与对照组相比,病例组角色功能(89.82 分)、情绪功能(84.76 分)、躯体功能(79.23 分)和社会功能(73.93 分)评分明显更高( < 0.05)。此外,术后 1 年 CT 检查显示,病例组复发率(6.45%)明显低于对照组(22.58%)( < 0.05)。因此,基于三维重建算法的 CT 检测对 NMIBC 患者术前诊断、预后和复发监测尤为重要,可为 NMIBC 的诊断和预后监测提供重要的临床价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/147b/9192276/a10570451f6c/CMMI2022-6168528.001.jpg

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