摘要
目的 探索腺性膀胱炎的影像诊断要点。方法 对24例经膀胱镜及病理确诊为腺性膀胱炎患者的临床、膀胱镜、CT及静脉尿路造影(IVU)检查进行回顾性分析。结果 临床表现为血尿11例,尿路刺激症状9例,排尿困难8例,肾功能减退2例;膀胱镜检查22例,表现为菜花样改变11例,水肿与滤泡样改变8例,黏膜粗糙3例。18例行B超检查,12例诊断为膀胱占位;行IVU检查15例,其中10例诊断为膀胱占位,并经CT证实。24例中并发膀胱癌2例;1例多次复发。结论 腺性膀胱炎易与膀胱癌混淆,病理检查是确诊的依据,CT及IVU检查能发现病变,CT检查发现膀胱占位合并膀胱壁较广泛增厚而无壁外侵犯时,应高度怀疑本病。
Objective TostudytheCTdiagnosticpointofcystitisglandularis(CG) .Methods 2 4cases ofCGprovedbypathologywereanalyzed .Results 1 1caseshadhematuria .2 2caseswereexaminatedwith cystocopy ,with 1 1casespresentingcauliflowerappearance ,8casesedemaandfollicularconfigurationand 3cases roughenedmucosa.Ultrasoundwasperformedin 1 8cases,amongwith 1 2diagnosedasbladdermasses 1 5cases hadintravenousurography ,amongthem 1 0caseswerediagnosedasbladdermassesandconfimedbyCT 2had bladdercancersimultaneously Conclusions Cystitisglandularisiseasilymistakenforbladdercancer Itcanbe provedbypathologicalexamination CTandIVUexaminationcandetectthelesions Whenthebladderwall becomesdiffuselythickenedbutwithoutsurroundinginvasion ,cystitisglandularisshouldbehighlysuspected
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2000年第1期55-57,共3页
Chinese Journal of Radiology
