膀胱平滑肌瘤误诊为子宫肌瘤1例并文献复习  

A case of bladder leiomyoma misdiagnosed for hysteromyoma with literature review

作　　者：杨栋[1] 潘峰[1] 梁华庚[1] 侯腾[2,3] 李兵[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院泌尿外科,武汉430022 [2]暨南大学第二临床医学院 [3]广东省深圳市人民医院泌尿外科

出　　处：《临床泌尿外科杂志》2012年第5期337-338,共2页Journal of Clinical Urology

摘　　要：目的:探讨膀胱平滑肌瘤的临床特点和诊治方法。方法:回顾性分析1例误诊为子宫肌瘤的膀胱平滑肌瘤患者的临床资料,患者女,50岁,尿频、尿急2个月余,间断无痛肉眼血尿10天。CT扫描示膀胱后壁有一2.6cm×3.1cm均质肿块突向膀胱内,界限清楚。行开放手术剜除肿瘤。结果:病理诊断为膀胱平滑肌瘤。术后患者恢复良好,排尿刺激症状消失。结论:膀胱平滑肌瘤与子宫肌瘤均为良性肿瘤,女性多发。二者均可出现膀胱刺激症状和下腹疼痛,不易鉴别。超声是较为敏感的诊断工具,而CT和MRI更有助于鉴别诊断和治疗方法的选择。两病治疗均首选手术,预后良好。Objective：To investigate the clinical features of bladder leiomyoma and the methods of diagnosis and treat- ment. Methods; The clinical features, diagnosis and treatment were analyzed with review of previous released literatures in one case of bladder leiomyoma misdiagnosed for hysteromyoma. Results.. The pathological report was leiomyoma. The pa- tient was cured by surgery, and then the symptoms was disappeared postoperatively. Conclusions： Both bladder leiomyoma and hysteromyoma are benign neoplasm and more common in females. Both diseases can lead to irritative symptoms of bladder and hypogastralgia, which is not very easy to identify. Ultrasonography is a sensitive diagnostic tool, computed tomographic scan or magnetic resonance imaging is most useful in differential diagnosis and selective forms of treatment. The first choice of treatment is surgery and the prognosis is excellent.

关 键 词：膀胱 平滑肌瘤 子宫肌瘤 

分 类 号：R694[医药卫生—泌尿科学]