CAJ | 학술논문

目的探讨血吸虫性膀胱炎的CT表现.方法回顾性分析32例经尿液细胞学检查找到虫卵证实的32例血吸虫性膀胱炎患者资料,所有患者均行CT平扫加增强扫描,观察病变累及部位和膀胱壁、输尿管等表现,并观察膀胱充盈及排空后的大小变化.结果 32例CT上均见膀胱壁蛋壳样或弧形钙化,增强后膀胱壁未钙化区轻度强化.除5例合并膀胱癌外,其余患者膀胱充盈及排空后大小变化基本正常.25例伴输尿管下段钙化,22例伴输尿管肾盂积水.11例男性患者中有4例可见精囊钙化.女性患者的子宫、卵巢和男性患者的前列腺均未见钙化.5例合并膀胱癌,膀胱壁明显不规则增厚,增强后中度强化.结论膀胱钙化是血吸虫性膀胱炎最典型的CT表现,有助于该病的诊断.
목적 탐토혈흡충성방광염적CT표현.방법 회고성분석32례경뇨액세포학검사조도충란증실적32례혈흡충성방광염환자자료,소유환자균행CT평소가증강소묘,관찰병변루급부위화방광벽、수뇨관등표현,병관찰방광충영급배공후적대소변화.결과 32례CT상균견방광벽단각양혹호형개화,증강후방광벽미개화구경도강화.제5례합병방광암외,기여환자방광충영급배공후대소변화기본정상.25례반수뇨관하단개화,22례반수뇨관신우적수.11례남성환자중유4례가견정낭개화.녀성환자적자궁、란소화남성환자적전렬선균미견개화.5례합병방광암,방광벽명현불규칙증후,증강후중도강화.결론 방광개화시혈흡충성방광염최전형적CT표현,유조우해병적진단.
Objective To analyze CT manifestation of Schistosoma haematobium cystitis.Methods Retrospective analysis 32 patients,who were tested for Schistosoma haematobium cystitis using the urine filtration method.CT scan was performed for each patient with contrast enhancement.Results The vast majority of urinary tract schistomiasis lesions were in the urinary bladder.Calcification of the bladder wall was observed in all patients and mild enhancement in non calcified zone was found after intravenous contrast.Except for 5 patients of bladder cancer,the rest were no abnormality in size of bladder when bladder was filling or emptying.Ureteral wall annular calcification could also be identified in 25 patients.Twenty two patients were companied with ureteric hydronephrosis.Seminal vesicle calcification was seen in 4 patients among 11 male patients,while both uterine and ovarian in female and prostate in men had non calcification.Serious illness can be combined with bladder cancer.In 5 patients of patients with bladder cancer,bladder showed irregular soft tissue mass which was enhanced moderately after post-contrast scan,with vesical calcification in mass medially.Conclusion Bladder calcification is the most prominent CT feature of Schistosoma haematobium cystitis,which is useful in diagnosis the disease.