膀胱憩室的超声诊断分析
膀胱憩室,,膀胱；憩室；超声检查,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 对8例经手术后病理结果证实的膀胱憩室进行超声检查分析。方法 应用超声诊断仪对患者的下腹部进行检查，对适度充盈后的膀胱观察其大小、形态，膀胱壁厚度、连续性、内外有无异常回声及毗邻关系，排尿后动态观察膀胱及憩室的情况。结果 8例患者全为单发，憩室伴膀胱结石为2例，憩室全部位于侧方，全部病例均有不同程度的尿潴留，6例男性患者均有不同程度的前列腺肥大。结论 膀胱壁的局限性囊袋状突起为膀胱憩室。临床上所见大多为后天性，均有不同程度的尿潴留，男性患者均有不同程度的前列腺肥大，有少数憩室内见结石，偶尔可见肿瘤。超声检诊膀胱憩室，一要显示憩室的憩室口，二要对比排尿前后的憩室腔变化。膀胱憩室还要注意与盆腔肿物及输尿管囊肿进行鉴别。【关键词】 膀胱；憩室；超声检查
Ultrasonographic diagnosis of the bladder diverticulum
LU Jian-ping,ZHAO Shou-qing.Department of Radiology,Jinsha Hospital,Nanhai District,Foshan 528223,China
【Abstract】 Objective To study ultrasonographic findings in 8 cases of bladder diverticulum confirmed pathologically.Methods Color Doppler ultrasound and B-mode ultrasound were used to detect bladders with regard to size,figure,walls thickness and continuity,abnormal echo and adjoin relationship,and dynamic changes of bladdes and diverticulum.Results 8 cases were all with single diverticulums of lateral position,accompanied with urine retention to various degrees.Diverticulum accomanied with cystolity occured in 2 cases,and prostatic hyperplasia in 6 male cases.Conclusion The bladder diverticulums manifest in ultrasonography as cystic protrusion with access to the bladders,whose size changes with urinar volume in the bladders resulting in differentiate from pevic tumor and ureteral cyst. ......
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