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膀胱结核的CT诊断
引用本文:许国宇,何宝明,由昆,常宏伟,许银伍,李开明,苏家贵,刘国利.膀胱结核的CT诊断[J].临床放射学杂志,2005,24(10):897-899.
作者姓名:许国宇  何宝明  由昆  常宏伟  许银伍  李开明  苏家贵  刘国利
作者单位:[1]解放军总医院第309临床部放射科,北京100091 [2]长春市传染病院,130062
摘    要:目的研究膀胱结核的CT表现及其诊断价值. 资料与方法 50例经实验室检查或膀胱镜证实的膀胱结核患者,行螺旋CT平扫、增强及延迟扫描. 结果早期病变位于输尿管口附近, 5例表现为膀胱壁局部结节,8例表现为膀胱壁局部僵硬、增厚;中晚期病变表现为膀胱壁广泛增厚和容积缩小,共37例,病变表面线状强化提示病变活动. 结论螺旋CT扫描能很好显示膀胱结核早期改变,结合临床可以做出正确诊断.

关 键 词:结核  膀胱  螺旋CT  膀胱结核  CT诊断  螺旋CT平扫  早期病变  螺旋CT扫描  局部结节  实验室检查  膀胱壁  诊断价值
收稿时间:2004-12-01
修稿时间:2004-12-012005-04-04

CT Diagnosis of Bladder Tuberculosis
XU Guoyu, HE Baoming, YOU Kun,et al..CT Diagnosis of Bladder Tuberculosis[J].Journal of Clinical Radiology,2005,24(10):897-899.
Authors:XU Guoyu  HE Baoming  YOU Kun  
Institution:Department of Radiology, 309th Clinical Division of Chinese PLA General Hospital, Beijing 100091, P.R. China
Abstract:Objective To study the CT features and its value of bladder tuberculosis. Materials and Methods 50 cases with bladder tuberculosis proved by laboratorial examination and bladder endoscopy were performed with CT examination, including plain scan, enhanced and delay scan. Results Early stage of bladder tuberculosis were located around ureterostoma, 5 cases were demonstrated as bladder wall node, 8 cases were presented with bladder wall thick and stiff; 37 middle and advanced stage of cases with bladder tuberculosis were demonstrated as thickening of the bladder wall and reducing of bladder cavity, linear enhancement suggested active lesion. Conclusion Spiral CT has a special value for early diagnosis of bladder tuberculosis, correct diagnosis can be made closely combining with the clinical information.
Keywords:Bladder tuberculosis Spiral CT
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