常规超声及超声造影联合应用在膀胱损伤中的诊断价值  

Diagnosis Value of Combination of Conventional Ultrasound and Contrast-enhanced Ultrasound in Bladder Trauma

作　　者：梁彤[1] 任杰[2] 石星[1] 梁峭嵘[1] 刘照宏[1] 温建文[1] 

机构地区：[1]广州中医药大学附属佛山市中医院超声科,广东省佛山市528000 [2]中山大学附属第三医院超声科

出　　处：《中国超声医学杂志》2014年第6期555-557,共3页Chinese Journal of Ultrasound in Medicine

基　　金：广东佛山市科技局医学类科技攻关项目立项(No.201108073)

摘　　要：目的探讨常规超声及超声造影在膀胱外伤诊断中的应用价值。方法 38例膀胱外伤疑诊患者行常规超声及超声造影检查,结果与手术或CT(及随访)结果对照。结果 38例疑诊患者经手术或CT证实膀胱损伤33例,其中膀胱破裂16例,膀胱挫伤17例。常规超声漏诊膀胱破裂3例,将5例破裂误诊为挫伤,并且无法判断膀胱破裂的类型;而超声造影仅漏诊1例膀胱破裂,可大致判断膀胱破裂的类型,诊断结果与手术或CT结果对比具有更好的一致性。结论常规超声可显示外伤后增厚的膀胱壁及较大的裂口,超声造影能够清楚地显示膀胱壁的连续性及直观地显示造影剂自裂口向外流动,两者联合应用可大大提高对膀胱外伤的诊断率及对破裂类型的判断能力。Objective To investigate the application value of conventional ultrasound （US） and contrast-enhanced ultrasound （CEUS） in the diagnosis of bladder trauma.Methods We compared 38 cases of suspected bladder trauma patients by US and CEUS with the results of surgery or CT（and follow-up visit）.Results 33 cases were confirmed by surgery or CT among the 38 cases of the suspected bladder trauma patients,including 16 cases of bladder rupture and 17 cases of bladder contusion.3 cases of bladder rupture were misdiagnosed by US,5 cases of rupture were misdiagnosed as contusion,it cannot determine the type of bladder rupture; and 1 case of bladder rupture was misdiagnosed by CEUS,and it can roughly determine the type of bladder rupture,the diagnostic results of CEUS has better consistency with the results of surgery or CT.Conclusions US can show the thickened wall in post-traumatic bladder and a larger gap,CEUS can clearly show the continuity of the bladder wall and visually display the contrast media flows outward from the gap,the combination of the two methods can greatly improve bladder trauma diagnosis rate and judgment of the rupture type.

关 键 词：超声检查 造影剂 膀胱 损伤 

分 类 号：R445.1[医药卫生—影像医学与核医学]