CT在膀胱血肿诊断及病因分析上的价值

The value of CT on diagnosis and analysis of cause in urocystic blood tumor

目的探讨CT对膀胱内血肿的诊断价值。方法入选11例均为男性，年龄36～78岁；发病时间0．5-48h，通过CT平扫及改变体位扫描，根据其不同形式的CT表现，作出初步的病因诊断报告，然后与经临床治疗后的影像学复查，或经膀胱镜手术证实的结果相比较，判断其在血肿病因学分析上的价值。结果11例膀胱内血肿CT均能明确诊断，而且可以初步得知其病因，其中自发性8例，肿瘤性1例、外伤性1例、医源性1例。结论CT骨能明确诊断膀胱血肿，并能结合临床资料作出病因诊断分析。

Objective To study the value of CT on dignosis and analysis of cause in urocystic blood tumor. Methods Eleven cases of urocystic blood tumor were all males, their ages ranged from 36 to 78 yeas ; Courses of attack ranged from 0. 5 to 48 hours. They were all perfomed for routine CT scanning in different physical positions. According to their different forms of CT signs, compared with the results of the re-examinations of radiology after treatment or urocystic cystoscopic operation, then to judge their values of analysis of cause in urecystic blood tumor. Results CT might make diagnosis surely among all eleven patients of urocystic blood tumor,and might understand their causes primarily. Eight cases were spoutaneus urocystic blood tumor, one case was tumorous urocystic blood tumor, one case was tranmatic urocystic blood tumor, and one case was therapentic urocystic blood tumor. Conclusion CT may not only make diagnosis surely on the urocystic blood tumor,but also make the diagnosis of the analysis of cause in combination with the clinical details.