Abu-Yousef M M, Narayana A S, Brown R C, Franken E A
Radiology. 1984 Oct;153(1):227-31. doi: 10.1148/radiology.153.1.6473786.
Correlation between the sonographic staging and the clinical staging as determined by excretory urography, CT, cystoscopy, bimanual examination under anesthesia, and biopsy was possible in 14 of 17 cases of bladder tumor. Ultrasound failed to stage three cases either because the tumor was not seen by sonography (one case) or because of technically suboptimal images (two cases). The cystoscopically obtained biopsy specimens were adequate to make pathologic staging possible in 12 of 14 cases. There was agreement between the sonographic and clinical staging in all 14 cases and with the pathologic staging in all 12 adequately staged cases. The shortcomings of pathologic staging using the cystoscopic biopsy and the criteria of sonographic staging are discussed. Although sonography was demonstrated to be more accurate than conventional methods, further experience is necessary before conclusions can be drawn.
在17例膀胱肿瘤患者中，14例患者的超声分期与通过排泄性尿路造影、CT、膀胱镜检查、麻醉下双手检查及活检确定的临床分期之间具有相关性。超声未能对3例患者进行分期，其中1例是因为超声未发现肿瘤，另外2例是因为图像技术欠佳。在14例患者中，12例通过膀胱镜获取的活检标本足以进行病理分期。在所有14例患者中，超声分期与临床分期一致，在所有12例充分分期的病例中，超声分期与病理分期一致。文中讨论了使用膀胱镜活检进行病理分期的缺点以及超声分期的标准。尽管已证明超声比传统方法更准确，但在得出结论之前还需要更多经验。
