%0 Journal Article
%T 腺性膀胱炎的超声漏、误诊原因分析
%A 王淑玉
%A 蔡迪明
%A 李永忠
%J 华西医学
%P 2218-2220
%D 2010
%X 【】　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.
%K 腺性膀胱炎
%K 超声
%K 误诊
%K 漏诊
%U http://www.hxyxqk.com.cn/oa/DArticle.aspx?type=view&id=201012025