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目的探讨超声与CT对腺性膀胱炎的诊断价值。方法选择经病理组织检查证实的39例腺性膀胱炎患者,其中男性28例,女性11例;年龄28~86岁,平均年龄51.7岁。回顾性分析术前均行超声与CT检查的患者影像学表现及诊断情况。结果超声与CT检查对病灶边缘、回声或密度的判读结果较相似,但CT判读病灶形态不规则比例明显高于超声(P<0.05);超声检查80.6%(29/36)病灶乏血液供应,增强CT检查92.0%(23/25)轻度强化。超声、CT及超声联合CT诊断符合率分别为43.6%、38.5%、48.7%,各组间比较差异无统计学意义(P>0.05)。结论超声检查操作简便,无辐射,是诊断腺性膀胱炎的主要影像检查手段。
Objective To investigate the diagnostic value of ultrasound and CT in cystitis glandularis. Methods Thirty-nine patients with glandular cystitis confirmed by pathological examination were selected, including 28 males and 11 females. The average age was 51.7 years. Retrospective analysis of preoperative ultrasound and CT imaging of patients with imaging findings and diagnosis. Results Ultrasound and CT examination showed similar results on the edge, echo or density of lesions, but the irregular proportion of CT lesions was significantly higher than that of ultrasound (P <0.05). Ultrasonography showed no plasma supply in 80.6% (29/36) Enhanced CT examination 92.0% (23/25) mild enhancement. The coincidence rates of ultrasound, CT and ultrasonography combined with CT were 43.6%, 38.5% and 48.7%, respectively. There was no significant difference between the groups (P> 0.05). Conclusion Ultrasonography is easy to operate and has no radiation. It is the main imaging method for diagnosis of cystitis glandularis.