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目的分析腺性膀胱炎的声像学特征及误诊漏诊原因,以提高超声诊断符合率。方法对经病理检查证实的105例腺性膀胱炎的术前超声检查资料,进行回顾性分析。结果105例腺性膀胱炎,术前超声检查发现病灶者92例,其中30.4%为结节型,47.8%结节增厚型,12.0%片状增厚型,9.8%弥漫增厚型,超声诊断符合率为53.3%(56/105),漏诊率为12.4%(13/105),误诊20例,其中19例误诊为膀胱癌,其余16例未定性。结论不同病理发展阶段的腺性膀胱炎的声像学表现各异,检查者应提高对该疾病的认识,结合临床资料综合分析,提高超声诊断符合率。
Objective To analyze the acoustic imaging features of glandular cystitis and the causes of misdiagnosis and missed diagnosis to improve the coincidence rate of ultrasonic diagnosis. Methods The data of 105 cases of cystitis glandulae confirmed by pathology were retrospectively analyzed. Results A total of 105 cases of glandular cystitis were diagnosed by ultrasonography before surgery, of which 92 cases were found by ultrasonography. Among them, 30.4% were nodular, 47.8% nodular thickening, 12.0% lamellar thickening, 9.8% diffuse thickening, The diagnostic coincidence rate was 53.3% (56/105), the rate of misdiagnosis was 12.4% (13/105), misdiagnosed as 20 cases, of which 19 cases were misdiagnosed as bladder cancer and the other 16 cases were undetermined. Conclusions The findings of gingival cystitis in different stages of pathological development are different. The examiner should raise awareness of the disease, and combine the comprehensive analysis of clinical data to improve the coincidence rate of ultrasonic diagnosis.