多层螺旋CT诊断膀胱憩室癌的价值研究

Spiral CT in Diagnosis of Carcinoma of Bladder Diverticulum:A Value Analysis

目的探讨多层螺旋CT(MSCT)对膀胱憩室癌的诊断价值。方法选取4例经MSCT诊断并经手术病理证实的膀胱憩室癌患者,分析其影像学特征。结果 4例患者通过MSCT检查均诊断为膀胱憩室癌。MSCT表现为:与膀胱腔有狭窄孔道相通的囊袋内见软组织密度肿块,可有点状钙化;增强扫描显示肿块呈中度强化。结论 MSCT诊断膀胱憩室癌准确率高,且能明确憩室内肿瘤以及判断肿瘤浸润程度、盆腔淋巴结及其他脏器是否转移等。

Objective To explore the value of multislice spiral CT（MSCT） in diagnosis of carcinoma of bladder diverticulum.Methods Four patients with carcinoma of bladder diverticulum diagnosed pathologically by MSCT and surgeries were enrolled to analyze their imagine characteristics.Results The 4 patients were diagnosed as carcinoma of bladder diverticulum by MSCT.The MSCT showed that soft tissue density masses were noted in capsular bag interlinked to bladder cavity by a narrow channel with some punctuate calcification.Enhanced scanning showed that masses were moderately enhanced.Conclusion MSCT is accurate in diagnosis of carcinomas of bladder diverticulum and can confirm tumors in diverticulum and degree of tumor invasion and judge whether they have transferred to pelvic lymph nodes and other organs.