腺性膀胱炎的影像学诊断  

Imaging diagnosis of cystitis glandularis

作　　者：唐永华[1] 谢吉[1] 周建勤 宋琦[1] 何国祥[1] 

机构地区：[1]上海第二医科大学附属瑞金医院放射科,200025 [2]浙江省象山县第一人民医院放射科

出　　处：《中华放射学杂志》2000年第1期55-57,共3页Chinese Journal of Radiology

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

关 键 词：腺性膀胱炎 诊断 CT IVU 膀胱炎 

分 类 号：R445[医药卫生—影像医学与核医学]