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华西医学  2010 

腺性膀胱炎的超声漏、误诊原因分析

, PP. 2218-2220

Keywords: 腺性膀胱炎,超声,误诊,漏诊

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Abstract:

【】 目的 分析超声对腺性膀胱炎的误、漏诊原因,探讨减少其误、漏诊的方法。 方法 回顾性分析2006年1月-2010年2月经病理证实的135例腺性膀胱炎的声像图表现。 结果 135例腺性膀胱炎患者中,超声误诊26例,误诊率19.3%,漏诊11例,漏诊率8.2%。误诊的主要原因乳头结节型和团块型与膀胱肿瘤声像图极为相似、容易混淆,超声医师对膀胱壁各层次的观察不仔细,对病史重视不够;漏诊的主要原因膀胱充盈不佳或不充盈,病变体积太小、位于前壁或顶部,或病变位于膀胱后壁及颈部被明显增生的前列腺、膀胱内血凝块及膀胱结石等掩盖。 结论 超声是诊断腺性膀胱炎常用方法,但存在一定的误、漏诊,改进检查方法,可减少其误、漏诊发生。?【Abstract】 Objective Toanalyzethereasonsofmisseddiagnosisandmisdiagnosisofglandulariscystitisbyultrasonography. Methods Thesonographicoutcomesof135patientswithglandularcystitisdiagnosedbypathologicalexaminationfromJanuary2006toFebruary2010wereretrospectivelyanalyzed. Results In135patients,misdiagnosiswasin26witharateof19.3%,misseddiagnosiswasin11witharateof8.2%.Thereasonsofmisdiagnosisincludedthesonographicoutcomesofmastoidandtuberculousconglomerationweresimilartothoseofbladdertumour;theultrasonographicprofessionalsdidn’tclearlyobserveeachlayerofthebladderwall,anddidn’tpayenoughattentiontothediseasehistory.Thereasonsofmisseddiagnosisincludedthebladderwasunder-filledorunfilled,thesizeofthelesionsweretoosmallandwerelocatedattheanteriorwallorthetop,andthelesionswerelocatedattheposteriorwallandneckofthebladderwhichwerecoveredupbyobviousprostatehyperplasia,andgoresorstonesofbladdersothatthelesionscouldnotbeobserved. Conclusion Ultrasonographyisausualmethodfordiagnosingglandularcystitis,andweshouldamelioratetheexaminationtodecreasethemisdiagnosisandmisseddiagnosis.

References

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