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目的探讨膀胱憩室癌的CT表现特征,提高对本病的认识。方法回顾性分析经膀胱内镜及手术病理证实的8例膀胱憩室癌患者的CT资料,观察病灶的部位、大小、密度、形态、边界、转移或侵犯以及强化特点、憩室颈部的肿块范围、憩室的数量。结果CT表现特征为憩室内结节或肿块,呈宽基底或部分带蒂,CT平扫呈软组织密度影或混杂密度影,局部可见钙化,增强扫描结节或肿块呈不均匀中度强化,延迟扫描可见对比剂大部分充填。结论CT对膀胱憩室癌的诊断具有很高的价值,对膀胱憩室癌的临床治疗具有重要的指导意义。
Objective To investigate the CT manifestations of bladder diverticulitis and to improve the understanding of the disease. Methods The CT data of 8 patients with vesical diverticulitis confirmed by cystoscopy and surgical pathology were retrospectively analyzed. The location, size, density, morphology, border, metastasis, invasion and enhancement of lesion were observed. The extent of tumor mass in the neck of diverticulum, The number of diverticula. Results The CT findings were nodules or masses in the diverticulum with a wide base or partial pedunculation. The CT scan showed soft tissue density or mixed density, with localized calcification, enhanced scan nodules or uneven enhancement of the mass, delayed Visible contrast agent most of the filling scan. Conclusion CT is of great value in the diagnosis of bladder diverticulitis and has important guiding significance for the clinical treatment of bladder diverticulitis.