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目的提高对腺性膀胱炎CT表现的认识和诊断水平,减少误诊。方法本文搜集了我院2007年9月至2010年12月收治的13例腺性膀胱炎患者,经CT检查,均诊断为膀胱癌或膀胱炎,后经膀胱镜活检证实为腺性膀胱炎,回顾分析其CT表现。结果 13例腺性膀胱炎患者本组CT表现分为两型:结节型4例,弥漫增厚型9例;其中结节型误诊为膀胱癌,弥漫增厚型误诊为膀胱炎。结论首先腺性膀胱炎的CT表现缺少特征性,其次医生对于腺性膀胱炎的CT表现缺乏了解和认识,是导致误诊的主要原因。
Objective To improve the understanding and diagnosis of CT glandular cystitis and reduce the misdiagnosis. Methods This article collected 13 patients with glandular cystitis admitted from September 2007 to December 2010 in our hospital. All patients were diagnosed as bladder cancer or cystitis by CT examination. Cystoscopy confirmed cystitis, Review the CT findings. Results Thirteen cases of glandular cystitis were classified into two types according to CT findings: nodular type in 4 cases and diffuse thickening type in 9 cases. Nodular type was misdiagnosed as bladder cancer and diffuse thickening type was misdiagnosed as cystitis. Conclusions First of all, the CT appearance of cystitis glands lacks characteristics. Second, the lack of understanding and understanding of CT findings of cystitis glandularis is the main cause of misdiagnosis.