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就我院1994年~1997年经手术、病理证实为膀胱肿瘤35例的B超图像与病理进行分析,以提高诊断水平.膀胱肿瘤的回声基本上分为向膀胱腔突起和向膀胱壁浸润两部分.充盈的膀胱无回声暗区内有明亮的菜花样或乳头状凸起,肿瘤生长部位膀胱壁回声零乱不清.部分可见侵及肌层.35例均具有上述声像.其中31例为移行上皮癌.着重分析了4例膀胱肿瘤超声误诊为前列腺不规则增生、血块机化、输尿管癌、膀胱壁增生的超声声像及误诊原因,对照手术及病理所见,提出注意事项及检查手法,对原因不明血尿或膀胱刺激症状者,均应进行超声检查,其与CT、膀胱镜、膀胱造影等有很好的互补性.
In our hospital from 1994 to 1997 by surgery, pathological confirmed bladder tumor in 35 cases of B-mode images and pathological analysis to improve the diagnostic level. Bladder tumor echoes basically divided into protruding to the bladder and bladder wall infiltration of two parts. Bladder anechoic dark area filled with bright cauliflower or papillary bulge, tumor growth site bladder wall echo mess. Part of the visible invasion of muscle. 35 cases have the above sound image. 31 cases of transitional cell carcinoma. Focus on four cases of ultrasound diagnosis of bladder tumor misdiagnosed as prostate dysplasia, clotting machine, ureteral cancer, bladder ultrasound hyperplasia and misdiagnosis of the reasons, the control and pathology see, put forward matters needing attention and examination methods for unknown reasons Hematuria or bladder irritation should be carried out by ultrasound, and CT, cystoscopy, cystography and other good complementarity.