膀胱小梁小房形成的超声诊断及临床意义

Ultrasound Diagnosis and Clinical Significance of Trabecular Chamber Formation of Bladder

目的观察分析膀胱小梁小房形成的超声诊断及临床意义。方法回顾性分析我院2018年2月至2019年2月经病理证实的膀胱小梁小房40例患者的临床资料,对超声诊断的声像图特点进行分析。结果 40例患者膀胱充盈良好,大部分充盈过度,张力增加,呈不同程度的尿液潴留,膀胱壁增厚5~11 cm,黏膜表面呈现不规则毛糙,两侧最为明显,粘膜层能发现强回声,其中有21例呈现为指压征状改变,24例呈现为锯齿样改变,36例男性中,34例为不同程度的前列腺增大,1例前列腺正常,内部回声增强,1例膀胱颈部有低回声肿块,30例有前列腺结石,多发25例,单发5例,4例女性患者中,2例宫颈部前壁浆膜下肌瘤,1例两侧肾盂积水,1例下腹肿块较大,导出尿液后囊肿消失。结论膀胱小梁小房形成均有不同程度的尿潴留,男性患者大部分会出现前列腺增大、前列腺结石,出现膀胱小梁小房需要找到其梗阻的原因,对病因的诊断能对临床治疗方案有积极的指导意义。

Objective To observe and analyze the ultrasound diagnosis and clinical significance of the formation of small ovarian small chamber. Methods The clinical data of 40 patients with pathologically confirmed bladder trabecular chamber from February 2018 to February 2019 in our hospital were retrospectively analyzed. Results Forty patients had good bladder filling, most of them were overfilled, the tension increased, and the urine retention was different. The thickness of the bladder wall was 5~11 cm. The mucosal surface was irregularly rough, the two sides were the most obvious, and the mucosal layer could be found strong echo, 21 cases showed changes in finger pressure symptoms, 24 cases presented with serrated changes, 34 cases of 36 men with different degrees of prostate enlargement, 1 case of normal prostate, internal echo enhancement, 1 case of hypoechoic mass in the neck of bladder, 30 cases had prostatic stones, 25 cases were multiple, 5 cases were single. Four cases of female patients, 2 cases of anterior subserosal fibroids of the cervix, 1 case of bilateral hydronephrosis, 1 case of lower abdominal mass larger, the cyst disappeared after the urine was exported. Conclusion The formation of bladder trabecular chamber has different degrees of urinary retention. Most of the men have enlarged prostate and prostate stones. The causes of bladder trabecular chamber obstruction need to be found. The diagnosis of etiology can have a positive guiding significance for clinical treatment.