经腹超声腺性膀胱炎误诊为膀胱肿瘤50例的临床分析

Clinical Analysis of 50 Cases with Cystitis Glandularis Misdiagnosised as Bladder Tumor by Transabdominal Ultrasound

目的探讨经腹超声腺性膀胱炎误诊为膀胱肿瘤的误诊原因。方法选择我院2005年1月至2009年1月经腹超声腺性膀胱炎误诊为膀胱肿瘤患者50例,用LOGIQ-500超声仪对患者膀胱经腹进行探查,分析其超声图像,患者手术后行病理切片检查证实被超声误诊为肿瘤的50例患者均为腺性膀胱炎。结果误诊为膀胱肿瘤的50例腺性膀胱炎患者因为增生范围和程度的差异,其超声图像也各有不同,本组病例中,29例表现为结节增生、12例表现为乳头增生、9例表现为弥漫增厚。结论经腹超声图像检查膀胱时,极易把乳头增生、结节增生的腺性膀胱炎误诊为膀胱肿瘤,在临床上需要仔细鉴别,减少误诊率。

Objective The cause of cystitis glandularis misdiagnosised as bladder tumor by transabdominal ultrasound.Methods 50 cases with cystitis glandularis misdiagnosised as bladder tumor by transabdominal ultrasound were selected from January,2005 to January,2009.they were detected by logiq-500 type ultrasound,the sonogram was analyzed,50 cases misdiagnosised as bladder tumor were all cystitis glandularis confirmed by pathological section examination.Results The sonogram of 50 cases with cystitis glandularis misdiagnosised as bladder hyperplasia,12cases were type of nodus hyperplasia then that could decrease tumor were various because of the hyperplasia range and degree,in all cases,29cases were type of the nodus type of nipple hyperplasia,9 cases were type of diffuse thickening.Conclusion Cystitis glandularis of the and nipple hyperplasia is usually misdiagnosised as bladder tumor,which is needed identification by doctors, the misdiagnosis rate.