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目的:探讨腺性膀胱炎的超声声像图特征及其临床意义。方法:回顾性分析30例经手术、膀胱镜检查及病理活检证实为腺性膀胱炎的超声声像图资料。结果:确诊的30例腺性膀胱炎中,其中18例为结节型,10例为乳头型,2例为弥漫增厚型,其超声声像图特征:病变局限于黏膜层,不侵及肌层,黏膜增厚,回声不均,肌层回声连续完整,与膀胱壁界限清晰,CDFI显示:结节型和乳头型病变区内一般无明显血流信号或偶于基底部见稀少点状血流信号,弥漫增厚型多可见稍丰富的短条状血流信号,与膀胱壁平行,且多呈静脉型。结论:彩色多普勒超声检查无创、敏感性高、可重复性高,可成为腺性膀胱炎患者初诊、动态观察及预后评估的首选检查方法。
Objective: To investigate the ultrasonographic features of glandular cystitis and its clinical significance. Methods: A retrospective analysis of 30 cases of surgically and cystoscopy and pathological biopsy confirmed glandular cystitis ultrasound sonographic data. Results: Among the 30 cases of cystitis glandularis diagnosed, 18 cases were nodular, 10 cases were papillary and 2 cases were diffuse thickening. The features of ultrasonography were as follows: the lesion was confined to the mucosa, not invasion Muscle layer, mucosal thickening, uneven echoes, muscular echo continuous integrity, clear boundaries with the bladder wall, CDFI showed: nodular and papillary lesions generally no significant blood flow signal or occasionally seen at the basal part of rare punctate Blood flow signals, diffuse thickening type can be seen slightly more abundant short strip of blood flow signal, parallel with the bladder wall, and mostly venous. Conclusion: Color Doppler ultrasonography is noninvasive, high sensitivity and reproducibility. It can be the first choice of examination for the diagnosis, dynamic observation and prognosis of patients with glandular cystitis.