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目的分析超声对腺性膀胱炎的误、漏诊原因,探讨减少其误、漏诊的方法。方法回顾性分析2006年1月2010年2月经病理证实的135例腺性膀胱炎的声像图表现。结果 135例腺性膀胱炎患者中,超声误诊26例,误诊率19.3%,漏诊11例,漏诊率8.2%。误诊的主要原因:乳头结节型和团块型与膀胱肿瘤声像图极为相似、容易混淆,超声医师对膀胱壁各层次的观察不仔细,对病史重视不够;漏诊的主要原因:膀胱充盈不佳或不充盈,病变体积太小、位于前壁或顶部,或病变位于膀胱后壁及颈部被明显增生的前列腺、膀胱内血凝块及膀胱结石等掩盖。结论超声是诊断腺性膀胱炎常用方法,但存在一定的误、漏诊,改进检查方法,可减少其误、漏诊发生。
Objective To analyze the causes of misdiagnosis and misdiagnosis of glandular cystitis by ultrasound and to explore ways to reduce its errors and missed diagnosis. Methods Retrospective analysis of January 2006 February 2010 pathologically confirmed 135 cases of glandular cystitis sonogram performance. Results Of 135 patients with cystitis glandularis, 26 cases were misdiagnosed by ultrasound, the rate of misdiagnosis was 19.3%, misdiagnosis was 11 and the rate of misdiagnosis was 8.2%. Misdiagnosis of the main reasons: papillary nodules and clumps and bladder tumor sonography are very similar, easy to confuse, the ultrasound physicians on the bladder wall at all levels of observation is not careful enough attention to the medical history; missed diagnosis of the main reasons: bladder filling is not Good or not filling, the lesion volume is too small, located in the anterior wall or at the top, or lesions located in the bladder wall and neck were significantly hyperplasia of the prostate, bladder clots and bladder stones and other masking. Conclusion Ultrasound is a common method of diagnosis of cystitis glandularis, but there are some mistakes, missed diagnosis, improved examination methods to reduce the error and missed diagnosis.