超声显像对腺性膀胱炎的诊断价值

目的 探讨腺性磅胱炎的声像图特征。方法回顾分析22例经手术或病理证实的腺性膀胱炎的声像图表现及病理改变。结果在本组22例腺性膀胱炎患者中，超声检查结果示膀胱内异常回声组织者21例(95．45％)，阴性者1例(4．55％)。其中位于三角区者10例，三角区及输尿管周围者6例，三角区及颈部者5例。腺性膀胱炎声像图表现分为如下3种类型：①乳头增生型，4例；②弥漫增厚型，5例；③结节增生型，12例。另4例合并有输尿管下段结石，6例有不同程度的前列腺增生症。结论超声可作为腺性膀胱炎首选检查方法，对已确诊为该病而未经手术治疗以及手术治疗后的患者，超声可作为首选随访方法。

The diagnostic value of ultrasonography in the diagnosis of glandular cystitis

Objective To analyse ultrasonic characters of cystitis glandularis. Methods All the 22 patients comfirmed as cystitis glandularis by operation or pathology were reviewed and compared with pathologic change. Results In the 22 cases of cystitis gtandularis, ultrasonic checking resulted in 21(95.45%) cases with abnormal echo tissue and 1(4.55%) negative case in the urinary bladder. Of the 21 positive cases,there were 10 cases in the triangle district,6 cases in the triangle district and arround the ureter,5 cases in the triangle district and neck. Ultrasonic characters of cystitis glandularis divided into 3 types,the first type was papillary proliferation consisted of 4 cases,the second type was diffuse hyperplasia consisted of 5 cases,the third type was nodular proliferation consisted of 12 cases. In addition to those,there were 4 cases with complication of stone in the lower ureter, and 6 cases with different degree proliferation in the prostate gland. Conclusion Ultasound regarded as the first checking way for determination of cystitis glandularis,ultrasonography can be the first choice way for follow-up of cystitis glandularis patients without operation and after operation freatmeat.