经直肠超声在男性盆腔肿物诊断中的应用价值  

The Value of Transrectal Ultrasonography in the Diagnosis of Male Pelvic Masses

作　　者：贾文秀[1] 朱强[1] 冀鸿涛[1] 

机构地区：[1]首都医科大学附属北京同仁医院超声医学科,北京市100730

出　　处：《中国超声医学杂志》2017年第9期820-822,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨经直肠超声检查对男性盆腔肿物诊断中的应用价值。方法收集在我院经直肠超声检查男性盆腔肿物患者35例,观察其形态、位置、回声、与周围组织比邻关系、有无周围组织及淋巴结转移。结果前列腺Ca盆腔淋巴结转移16例,其中4例侵犯精囊,3例侵犯盆腔软组织,2例侵犯膀胱壁,2例侵犯直肠;膀胱Ca盆腔淋巴结转移6例,其中1例侵犯结肠;直肠Ca盆腔淋巴结转移3例,其中1例侵犯部分膀胱壁;盆腔内神经鞘瘤(其中1例伴出血形成较大的囊性区)、左输尿管下段癌、盆腔血肿、乙状结肠Ca盆腔淋巴结转移各2例;膀胱外生性平滑肌瘤、非霍奇金淋巴瘤侵犯盆腔软组织各1例。结论经直肠超声检查盆腔肿物,能够为临床诊断及选择治疗方法提供更多、更详细的信息。Objective To evaluate the value of transrectal ultrasonography （TRUS） in the diagnosis of male pel- vic masses. Methods 35 male patients with pelvic masses who were diagnosed by TRUS spanning were enrolled in this study. Each pelvic mass was evaluated based on form, location, echo, surrounding tissue and the presence of tis sue and lymphatic metastasis. Results For 16 prostate cancer cases with pelvic lymph node metastasis, 4 cases had in- vasion into the seminal vesicle, 3 cases into the pelvic soft tissue, 2 cases into the bladder wall and 2 cases into the rec- tum. For 6 bladder cancer cases with pelvic lymph node metastasis, 1 case had invasion into colon. For 3 rectal cancer cases, 1 case had invasion into part of the bladder wall. Moreover, 2 cases of pelvic schwannoma, 2 cases of lower u- reter cancer, 2 cases of pelvic hematoma, 2 cases of sigmoid colon cancer with pelvic lymph node metastasis were found. In addition, case of bladder leiomyoma and 1 case of non-Hodgkin lymphoma invading pelvic soft tissue were found. Conclusions TRUS can provide more and detailed information for clinical diagnosis and treatment of male pel- vic masses.

关 键 词：直肠超声 男性盆腔肿物 

分 类 号：R445.1[医药卫生—影像医学与核医学] R730.44[医药卫生—诊断学]