腺性膀胱炎的临床及MR表现  

Clinical and MR Manifestations of Cystitis Glandularis

作　　者：陈炯[1] 黄玲芳[2] 黄才胜[3] 尹华[1] 陈江 丁可[1] CHEN Jiong;HUANG Ling-fang;HUANG Cai-sheng;YIN Hua;CHEN Jiang;DING Ke(Department of Radiology,the Second Nanning People's Hospital,Nanning 530031,Guangxi,China;Guangxi Medical College,Nanning 530000,Guangxi,China;Department of Urology,the Second Nanning People’s Hospital,Nanning 530031,Guangxi,China)

机构地区：[1]南宁市第二人民医院放射科,广西南宁530031 [2]广西卫生职业技术学院护理学院,广西南宁530000 [3]南宁市第二人民医院泌尿外科,广西南宁530031

出　　处：《中国CT和MRI杂志》2023年第5期96-98,共3页Chinese Journal of CT and MRI

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题《多参数3.0TMR对膀胱癌术前T分期、组织学分级预测的研究》(合同号Z20190173)。

摘　　要：目的 分析和探讨腺性膀胱炎的MR表现。方法 搜集我院经病理证实的腺性膀胱炎患者7例,对其MR表现分析。结果 5例行膀胱MRI平扫+动态增强+DWI、1例行前列腺平扫、1例行MRU扫描。病灶位于膀胱三角区3例,其中2例同时累及膀胱颈,顶壁3例,前壁1例;结节增厚型5例、片状增厚型1例、结节型1例;T_(1)WI等信号,T_(2)WI及T_(2)压脂肪稍高信号;4例明显强化,1例中等度强化,动态增强时间-信号强度曲线5例均为渐增型;DWI稍高信号2例,等信号3例,ADC值平均1.69×10^(-3)mm^(2)/s,范围(1.40~2.09)×10^(-3)mm^(2)/s。7例膀胱壁外缘光整。结论 腺性膀胱炎MR表现具有一定特征性,病灶形态、动态增强时间-信号曲线、ADC值定量及及膀胱壁外缘有助于诊断及鉴别诊断。Objective To analyze and discuss MR of Manifestations cystitis.Methods MR findings of 7 patients with cystitis glandularis confirmed by pathology were analyzed.Results 5 cases underwent bladder MRI plain scan+dynamic enhancement+DWI,1 case underwent prostate plain scan,and 1 case underwent MRU scan.The lesions were located in the trigone of bladder in 3 cases,including 2 cases involving the bladder neck,3 cases in the top wall and 1 case in the front wall;There were 5 cases of nodular thickening type,1 case of lamellar thickening type,and 1 case of nodular type;T_(1)WI isosignal,T_(2)WI and T_(2) slightly high pressure fat signal;4 cases had obvious enhancement,1 case had moderate enhancement,and the time signal intensity curve of dynamic enhancement in 5 cases was gradually increasing;DWI slightly hyperintense in 2cases,isointense in 3cases,ADC value average 1.69×10^(-3)mm^(2)/s,range(1.40~2.09)×10^(-3)mm^(2)/s.Conclusion MR findings of cystitis glandularis have certain characteristics.The focus shape,dynamic enhanced time signal curve,quantitative ADC value and the outer edge of bladder wall are helpful for diagnosis and differential diagnosis.

关 键 词：腺性膀胱炎 磁共振成像 膀胱癌 

分 类 号：R445.2[医药卫生—影像医学与核医学]