MSCT和MRI在腺性膀胱炎中诊断价值分析.docVIP

MSCT和MRI在腺性膀胱炎中诊断价值分析 　　[摘要] 目的 探讨MSCT和高场MR诊断腺性膀胱炎的价值。 方法 随机回顾分析2012～2016年我院经病理确诊的10例腺性膀胱炎的影像特点。 结果 10例病变中，6例腺性膀胱炎位于膀胱三角区，1例位于前壁，1例位于侧壁，2例广泛位于周壁。其中，局限型7例，广泛弥漫增厚型2例，内壁毛糙型1例。增强后，5例局限型和2例广泛弥漫增厚型均呈轻度强化，1例内壁毛糙型未见强化，2例局限型呈较明显强化，其中1例误诊为膀胱癌。 结论 MSCT和高场MR在诊断腺性膀胱炎中有确切的诊断价值，两者结合诊断准确性进一步提高。 　　[关键词] 腺性膀胱炎；体层摄影术；X线计算机；核磁共振成像 　　[中图分类号] R445.2；R694.3 [文?I标识码] B [文章编号] 1673-9701（2017）09-0131-03 　　Analysis of diagnostic value of MSCT and MRI in cystitis glandularis 　　CHEN Songkuan MAO Guoqun YANG Guangzhao AO Weiqun 　　Department of Radiology， Zhejiang Provincial Tongde Hospital， Hangzhou 310012， China 　　[Abstract] Objective To investigate the value of MSCT and high field MR in the diagnosis of cystitis glandularis. Methods The image characteristics of 10 cases of cystitis glandularis diagnosed by pathology in our hospital from 2012 to 2016 were analyzed retrospectively. Results Among the 10 cases， 6 cases of cystitis glandularis were located in the bladder triangle， with 1 case in the anterior wall， 1 case in the lateral wall and 2 cases in the peripheral wall widely. Among them， there were 7 cases of localized type， 2 cases of extensive diffuse thickening， 1 case of rough inner wall. After enhancement， 5 cases of localized type and 2 cases of extensive diffuse thickening were mildly enhanced， and 1 case of internal wall roughness was not enhanced.2 cases of localized type was significantly enhanced， of which 1 case was misdiagnosed as bladder cancer. Conclusion MSCT and high field MR have definite diagnostic value in the diagnosis of cystitis glandularis， and the accuracy of the diagnosis by MSCT combined with high field MR is further improved. 　　[Key words] Cystitis glandularis； Tomography； X-ray computer； Magnetic resonance imaging 　　腺性膀胱炎（cystitis glandularis，CG）是一种较少见的膀胱黏膜慢性增生性炎症性病变[1]。近年来随着影像技术尤其MSCT和高场MR的快速发展和普及，检出率逐年增加，总体发病率约0.1%～1.9%[2，3]，并有增多趋势且有恶变可能，侵润到黏膜下层的腺性膀胱炎容易误诊为膀胱癌，定性诊断依据病理[4]。本文对我院2012～2016年经病理证实的10例腺性膀胱炎进行回顾性分析，探讨MSCT和高场MR对CG的诊断价值。 　　1 资料与方法 　　1.1一般资料