腺性膀胱炎的CT诊断及鉴别诊断  

Diagnosis and differential diganosis of cystitis glandularis

作　　者：胡敬花[1] 

机构地区：[1]菏泽市立医院CT室,山东省274031

出　　处：《实用诊断与治疗杂志》2005年第5期318-319,共2页Journal of Practical Diagnosis and Therapy

摘　　要：目的:探讨腺性膀胱炎的CT诊断及鉴别诊断。方法:搜集15例经病理证实的腺性膀胱炎的CT资料,全部病例均作CT平扫及增强检查,并结合有关文献对其影像学诊断与鉴别诊断进行回顾性分析。结果:CT能清晰显示腺性膀胱炎病变的大小、形态、密度及膀胱周围组织情况。腺性膀胱炎病变范围比较局限,部分伴有囊变且病灶增强效果不明显。临床确诊必须依靠膀胱镜和病理活检。结论:腺性膀胱炎在CT图像上有某些特征性表现并能与膀胱癌作鉴别诊断。Objective To study CT diagnosis and the differential diagnosis of cystitis glandularis. Methods Plain and enhanced CT scanning were performed in 15 patients with pathologically proved cystitis glandularis. Clinical diagnosis and clinical comparison of treatments were analyzed retrospectively and relevant literature were reviewed. Results The size,shape,density of the lesions of cystitis glandularis and the surrounding structures of the urinary bladder were well demonstrated on CT scans. The lesions were usually limited and had cystic degeneration, showing no obvious enhancement after contrast injection. The clinical diagnosis was confirmed by cystoscopic finding and biopsy. The treatment was transurethral electrovaporization and intravesical perfusion of drugs. Conclusion Cystitis glandularis carries some characteristic signs on CT, which is useful for its diagnosis and for differentiating it from the carcinoma of the urinary bladder.

关 键 词：CT诊断 腺性膀胱炎 膀胱癌 X线计算机 

分 类 号：R694.3[医药卫生—泌尿科学]