彩色多普勒超声对腺性膀胱炎的声像图分型及诊断价值

The sonogram classification and diagnostic value of color Doppler ultrasonography in cystitis glandularis

目的探讨彩色多普勒超声对腺性膀胱炎的临床诊断价值。方法对39例腺性膀胱炎患者,采用彩色多普勒超声观察病变的位置、形态、边界、内部回声及病变与膀胱壁的关系,并应用彩色多普勒血流成像观察病变边缘及内部的血流分布,同时将其声像图表现进行分型。对比分析超声检查与膀胱镜活检或手术病理诊断结果。结果声像图表现分为囊状结节型5例、实体结节型8例、局部壁增厚型21例,弥漫性壁增厚型5例,59.0%(23/39)的病变位于膀胱三角区及尿道内口周围,69.2%(27/39)的病变内部见小囊状无回声区。彩色多普勒超声检查诊断腺性膀胱炎的准确率达84.6%(33/39)。结论彩色多普勒超声检查能清晰显示腺性膀胱炎病变的位置、边界、形态、内部回声及病变与膀胱壁的关系,对腺性膀胱炎的诊断、鉴别诊断和临床随访有重要作用。

Objective To explore the clinical diagnostic value of color Doppler ultrasonography （CDU） in cystitis glandularis （CG）. Methods Thirty-nine CG were examined with CDU. The location, shape, boundary, internal echo and relationship with wall of urinary bladder of lesion were observed. The periphary and internal blood flow disposition of lesion were detected. The lesions were classified according to the sonographic appearances. The results of CDU were compared with those of cistoscope biopsy and pathologic diagnosis after operation. Results Five cases were capsular nodus, 8 were stereo nodus, 21 were part wall thickening and 5 were diffuse-wall thickening. The percentage of fifty-nine （23/39） lesions .were located in trigone of bladder and surrounded by the internal urethral meatus. The sacculiform anechoic area were observed in 69.2% （27/39） of lesions. The diagnostic accurary of CDU in CG was 84.6% （33/39）. Conclusions CDU can clearly show the location, shape, boundary, internal echo and relationship with wall of urinary bladder of CG and is of important value in diagnosis, differential diagnosis and clinical practice of CG.