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目的:分析经腹超声诊断腺性膀胱炎误诊的原因,旨在进一步提高腺性膀胱炎的超声诊断水平。方法:本文回顾性分析了我院2007-02/2008-12收治12例超声检查诊断为膀胱实性占位性病变患者,经直肠超声、手术及病理证实为腺性膀胱炎,探讨经腹超声对腺性膀胱炎的误诊原因,以提高经腹超声对腺性膀胱炎的诊断准确率。结果:12例腺性膀胱炎患者本组声像图表现分为两型:结节型4例;弥漫增厚型8例。其共性和特点:(1)病变局限于黏膜层,基底平坦,与膀胱壁强回声界线尚清晰;(2)基底部无动脉长入,无树枝状彩色血流及中高速度动脉频谱显示;(3)弥漫型并发上尿路梗阻,多呈双侧性,且为不完全性。结论:经腹超声因受肠道气体及距离较远等因素影响,诊断腺性膀胱炎有其局限性,应结合其他检查手段如经直肠超声等,以降低误诊率。
Objective: To analyze the causes of misdiagnosis of transnasal ultrasound in diagnosis of cystitis glandularisis, and to further improve the diagnostic value of cystitis glandularis. Methods: This retrospective analysis of our hospital from 2007-02 / 2008-12 admitted to 12 cases of bladder ultrasound diagnosis of space-occupying lesions, transrectal ultrasound, surgery and pathology confirmed cystitis glandularis, explore the transabdominal ultrasound The reasons for misdiagnosis of cystitis glandularis in order to improve the diagnostic accuracy of abdominal cystitis cystitis. Results: Twelve cases of glandular cystitis were divided into two types: benign nodules in 4 cases and diffuse thickening in 8 cases. Common features and characteristics: (1) the lesion is confined to the mucosa, the basal is flat, and the boundary of the strong echo with the bladder wall is still clear; (2) there is no arterial infiltration in the basal part, no dendritic color blood flow and medium- 3) diffuse concurrent upper urinary tract obstruction, mostly bilateral, and incomplete. Conclusion: Transabdominal ultrasonography due to intestinal gas and distance and other factors, the diagnosis of glandular cystitis has its limitations, should be combined with other tests such as transrectal ultrasound to reduce the misdiagnosis rate.