彩色多普勒超声对膀胱疾病的诊断价值及影像表现

Diagnostic value and imaging findings of color Doppler ultrasound in bladder diseases

目的探讨彩色多普勒超声在各类膀胱疾病诊断中的应用价值,总结各类膀胱疾病的超声影像表现。方法回顾性分析2019年6月至2022年3月成都市龙泉驿区第一人民医院经临床诊治证实的50例膀胱疾病患者的彩色多普勒超声影像和临床资料,分析超声诊断结果。结果50例患者中,膀胱结石24例,膀胱癌10例,膀胱乳头状瘤2例,膀胱憩室6例,膀胱异物1例,膀胱血块2例,腺性膀胱炎4例,膀胱结核1例。与临床诊治结果比较,1例膀胱癌漏诊,2例腺性膀胱炎误诊为膀胱癌,其余均诊断正确,超声共准确诊断47例,总体诊断符合率为94.00%。结论彩色多普勒超声检查能够对膀胱壁、膀胱内异常回声从体积大小、内部回声、血流状况、与膀胱壁的关系及周围组织结构关系等进行无创、实时、动态、多方位观察,对膀胱疾病有较高的诊断准确率,对膀胱疾病治疗方案选择具有重要的参考价值。

Objective To explore the application value of color Doppler ultrasound in the diagnosis of various bladder diseases,and to summarize the ultrasonic imaging manifestations of various bladder diseases.Methods The color Doppler ultrasound images and clinical data of 50 patients with bladder diseases confirmed by clinical diagnosis and treatment in the First People's Hospital of Chengdu Longquanyi District from June 2019 to March 2022 were retrospectively analyzed,and the results of ultrasound diagnosis were analyzed.Results Among the 50 patients,there were 24 cases of bladder calculi,10 cases of bladder cancer,2 cases of bladder papilloma,6 cases of bladder diverticulum,1 case of bladder foreign body,2 cases of bladder blood clot,4 cases of glandular cystitis,and 1 case of bladder tuberculosis.Compared with the results of clinical diagnosis and treatment,1 case of bladder cancer was missed,2 cases of glandular cystitis were misdiagnosed as bladder cancer,and the rest were correctly diagnosed.A total of 47 cases were accurately diagnosed by ultrasound,and the overall diagnostic coincidence rate was 94.00%.Conclusion Color Doppler ultrasonography can observe the abnormal echo of bladder wall and bladder from volume,internal echo,blood flow,relationship with bladder wall and surrounding tissue structure by a non-invasive,real-time,dynamic and multi-directional way.It has a high diagnostic accuracy for bladder diseases and has important reference value for the selection of treatment options for bladder diseases.