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粘膜附着劑를 利用한膀胱撮影法의 診斷的價値에 對한 臨床的檢討

Clinical evaluation of dianostic value on double contrast cystography in tumors of the urinary bladder.

중앙의학 1964년 7권 4호 p.432 ~ 435
임수길,
소속 상세정보
임수길 (  ) - 가톨릭대학 의학부 비뇨기과학교실

Abstract


In the investigation of patients of who have tumors in urinary bladder, various contrast media, both opaque and gaseous, may be used, either single or in combination, the commonest are watersoluble iodine salts; gas alone or in conjunction with opaque media has been employed.
The limited use of gas as a contrast medium is probably due to the facts that several deaths from gas embolism have been reported by Campbell,
We have found that tumors of the bladder often cannot be satisfactorily evaluated, and in some cases cannot even be demonstrated with the case of a single contrast medium, whether it be opaque or gaseous, no doubt because of an insufficient difference in density between the tumor and contrast medium.
It is essential for us to use an opaque medium which readily adheres to the mucosa of the bladder. We have learned that they tried several different agents such as hypaque and dionosil since Glaxo laboratory produced those agents.
The purpose of this investigation is to evaluate the diagnostic value of barium suspension and CO₂(double?contrast) cystography comparing with dionosil used in cystography.
Our series comprises 10 double contrast cystographys referable to the period May 1962 to May 1963, 8 of them were verified cases of bladder tumors; the remainder were in cases of hemorrhagic cystitis.
8 cases of verified bladder tumors have been examined by a modified double-contrast method with barium suspension and CO₂, It´s value lies in the possibility of determining the tumors of bladder, in permitting demarcation of even very small tumors, and in facilitating evaluation of the degree of malignancy without disparity in double-contrast cystography with dionosil and CO₂.

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