腺性膀胱炎的临床与多层螺旋CT表现  

Clinical and CT Manifestations of Cystitis Glandularis

作　　者：丁莹莹[1] 李鸡[1] 李卓琳[1] 

机构地区：[1]昆明医学院第三附属医院放射科,云南昆明650118

出　　处：《实用放射学杂志》2010年第1期57-59,共3页Journal of Practical Radiology

摘　　要：目的探讨腺性膀胱炎的临床和CT诊断特点。方法对12例经膀胱镜及病理确诊为腺性膀胱炎患者的临床、膀胱镜和CT表现进行回顾性分析，并复习相关文献。结果12例患者的临床表现为血尿8例，尿频、尿急和尿痛3例，排尿困难1例。病变好发于膀胱三角区、颈部和输尿管开口周围。其中3例CT检查未见异常，膀胱壁局限增厚7例，其范围约为1．6～5．5cm，另1例表现为膀胱壁广泛增厚。平扫病灶为等密度，增强后仅轻度强化，CT值平均增加13．1HU。结论腺性膀胱炎的CT表现具有一定特征，但CT检查无异常者不能排除腺性膀胱炎的诊断。Objective To investigate the clinical features and CT findings of cystitis glandularis. Methods The cystoscopic findings, clinical data and CT findings in 12 cases of cystitis glandularis patiens confirmed by cystoscopy and pathology were analyzed ret- rospectively with literatures review. Results The clinical symptoms included hematuria 18 cases） ,symptoms of urinary tract infection（3 cases l and dysuria（1 case）. The lesions predominataly located at the trigone, neck of the bladder and around the entrances of the ureter. CT showed normality in 3 cases, bladder wall locally thickening in 7 cases （ the ranges were 1.6 - 5.5 cm ）, extensive bladder wall thickening in 1 case. The lesions were isodensity on plain CT images and slightly enhanced after administration of contrast medium, the CT value increased 13.1 HU averagely. Conclusion Cystitis glandularis is of certain CT characteristics,however, no abnormalities are found by CT that can not be ruled out cystitis glandularis.

关 键 词：膀胱 腺性膀胱炎 体层摄影术 X线计算机 

分 类 号：R694.3[医药卫生—泌尿科学] R814.42[医药卫生—外科学]