【摘要】 目的 分析腺性及囊性膀胱炎患者的CT表现及诊断要点。方法 回顾性分析39例经病理确诊为腺性及囊性膀胱炎的临床资料及CT表现。结果 39例患者中腺性膀胱炎33例,囊性膀胱炎6例。腺性膀胱炎33例中有2例CT表现为阴性,31例为阳性,其中4例广泛性病变表现为膀胱壁的弥漫性增厚,内壁毛糙;27例为局限性病变,19例CT表现为膀胱壁呈局限性丘状增厚,病灶与正常膀胱壁相延续,病灶边缘光滑;8例CT表现为结节状;17例行CT增强扫描,15例增强后病灶表现为轻度强化,与周围正常膀胱壁强化基本一致或强化略高,2例增强后病灶呈不均匀中等强化。6例囊性膀胱炎CT表现为膀胱壁广泛增厚、毛糙,膀胱壁内可见多发大小不等囊状影,膀胱壁呈“串珠”状,部分囊腔明显突向膀胱腔外。结论 腺性及囊性膀胱炎的CT表现具有一定特征性,CT是诊断腺性及囊性膀胱炎的重要检查方法。更多还原

【Abstract】 Objective To investigate the manifestations and features of CT for glandular cystitis as well as cystic cystitis.Methods Clinical manifestations and CT imaging features of 39 cases with biopsy-proved glandular cystitis or cystic cystitis were analyzed retrospectively.Results Among 39 cases,33 were glandular cystitis and 6 were cystic cystitis.Two out of the 33 cases with glandular cystitis had a negative CT scan,and 31 had a positive CT scan among which 4 cases with extensive lesions showed diffuse thickening of the bladder wall,and 27 were with localized lesions.Furthermore,19 out of the 27 cases showed localized thickening of the bladder wall with smooth edge,which was a continuation of surrounding normal bladder wall;8 showed nodular lesions.17 of the 33 cases with glandular cystitis underwent contrast-enhanced CT scan which showed mildly enhancement consistent with or slightly stronger than the normal bladder wall in 15 cases and moderate uneven enhancement in 2 cases.The 6 cases with cystic cystitis showed diffuse thickened rough bladder wall.There were cystic shadows of various sizes in the inner wall of the bladder partially protruding into the bladder,which presented as a "beaded shape" manifestation.Conclusion The characteristic manifestations of glandular cystitis as well as cystic cystitis on CT scan are of great significance in diagnosing both of the diseases.更多还原