中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2013年
7期
606-609
,共4页
班永光%马新武%栾钦花%李吉昌%滕剑波%娄丽%宋庆达%刘绍玲
班永光%馬新武%欒欽花%李吉昌%滕劍波%婁麗%宋慶達%劉紹玲
반영광%마신무%란흠화%리길창%등검파%루려%송경체%류소령
超声检查%膀胱肿瘤%乳头状瘤,内翻
超聲檢查%膀胱腫瘤%乳頭狀瘤,內翻
초성검사%방광종류%유두상류,내번
Ultrasonography%Urinary bladder neoplasms%Papilloma,inverted
目的 探讨膀胱内翻性乳头状瘤的彩色多普勒超声表现.方法 回顾性分析24例经手术病理证实的膀胱内翻性乳头状瘤患者的临床表现、膀胱镜检查、术中表现及声像图特征.结果 24例均行经腹超声检查,发现24个肿块,最大径1.0~3.4 cm,其中1~2 cm者17例,大于2 cm者7例;17例呈乳头状,7例呈菜花状;18例无蒂,6例带蒂,其中2例可见肿块在膀胱腔内摆动;结节呈略强回声(14例)或高回声(10例).按照内部回声可分为3种类型:Ⅰ型(14例),回声均匀;Ⅱ型(7例),回声不均匀,边缘或内部散在细点状强回声;Ⅲ型(3例),回声不均匀,周边回声强,内部回声低.彩色多普勒血流显像示17例肿块内部未测及明显血流信号,4例测及点状血流信号,3例测及点条状血流信号或条状血流信号.肿块局部膀胱壁均显示连续,肿块后方无衰减.发病部位分别为膀胱三角区(6例)、左后壁(5例)、尿道内口(4例)、右侧壁(3例)、右后壁(3例)、后壁(2例)、左侧壁(1例).超声误诊为膀胱癌5例,提示实性占位或实性肿瘤者17例,仅有1例考虑乳头状瘤,1例提示良性病变.结论 膀胱内翻性乳头状瘤声像图特征为单发,有蒂,呈乳头状或菜花状,表面光滑,最常见发病部位是膀胱颈口处与膀胱三角区.超声检查可作为膀胱内翻性乳头状瘤主要的筛查手段.
目的 探討膀胱內翻性乳頭狀瘤的綵色多普勒超聲錶現.方法 迴顧性分析24例經手術病理證實的膀胱內翻性乳頭狀瘤患者的臨床錶現、膀胱鏡檢查、術中錶現及聲像圖特徵.結果 24例均行經腹超聲檢查,髮現24箇腫塊,最大徑1.0~3.4 cm,其中1~2 cm者17例,大于2 cm者7例;17例呈乳頭狀,7例呈菜花狀;18例無蒂,6例帶蒂,其中2例可見腫塊在膀胱腔內襬動;結節呈略彊迴聲(14例)或高迴聲(10例).按照內部迴聲可分為3種類型:Ⅰ型(14例),迴聲均勻;Ⅱ型(7例),迴聲不均勻,邊緣或內部散在細點狀彊迴聲;Ⅲ型(3例),迴聲不均勻,週邊迴聲彊,內部迴聲低.綵色多普勒血流顯像示17例腫塊內部未測及明顯血流信號,4例測及點狀血流信號,3例測及點條狀血流信號或條狀血流信號.腫塊跼部膀胱壁均顯示連續,腫塊後方無衰減.髮病部位分彆為膀胱三角區(6例)、左後壁(5例)、尿道內口(4例)、右側壁(3例)、右後壁(3例)、後壁(2例)、左側壁(1例).超聲誤診為膀胱癌5例,提示實性佔位或實性腫瘤者17例,僅有1例攷慮乳頭狀瘤,1例提示良性病變.結論 膀胱內翻性乳頭狀瘤聲像圖特徵為單髮,有蒂,呈乳頭狀或菜花狀,錶麵光滑,最常見髮病部位是膀胱頸口處與膀胱三角區.超聲檢查可作為膀胱內翻性乳頭狀瘤主要的篩查手段.
목적 탐토방광내번성유두상류적채색다보륵초성표현.방법 회고성분석24례경수술병리증실적방광내번성유두상류환자적림상표현、방광경검사、술중표현급성상도특정.결과 24례균행경복초성검사,발현24개종괴,최대경1.0~3.4 cm,기중1~2 cm자17례,대우2 cm자7례;17례정유두상,7례정채화상;18례무체,6례대체,기중2례가견종괴재방광강내파동;결절정략강회성(14례)혹고회성(10례).안조내부회성가분위3충류형:Ⅰ형(14례),회성균균;Ⅱ형(7례),회성불균균,변연혹내부산재세점상강회성;Ⅲ형(3례),회성불균균,주변회성강,내부회성저.채색다보륵혈류현상시17례종괴내부미측급명현혈류신호,4례측급점상혈류신호,3례측급점조상혈류신호혹조상혈류신호.종괴국부방광벽균현시련속,종괴후방무쇠감.발병부위분별위방광삼각구(6례)、좌후벽(5례)、뇨도내구(4례)、우측벽(3례)、우후벽(3례)、후벽(2례)、좌측벽(1례).초성오진위방광암5례,제시실성점위혹실성종류자17례,부유1례고필유두상류,1례제시량성병변.결론 방광내번성유두상류성상도특정위단발,유체,정유두상혹채화상,표면광활,최상견발병부위시방광경구처여방광삼각구.초성검사가작위방광내번성유두상류주요적사사수단.
Objective To explore the ultrasound findings of inverted papilloma of the bladder (IPB).Methods The clinical manifestation,cystoscopy examination,intraoperative observation and ultrasonographic imaging of 24 patients with IPB,which were confirmed by surgery and pathology examination,were analyzed retrospectively.Results 24 patients underwent ultrasound examination and 24 tumors were found.The maximum diameter of tumors were from 1.0 cm to 3.4 cm:1.0-2.0 cm (n =17),2.0-3.4 cm (n =7).Tumors were papillary (n =17) or cauliflower shape (n =7),6 cases had pedicles and none in 18 cases,2 cases swung in the bladder cavity.Tumors were slight hyperecho (n =14) or highlevel echo (n =10),and could be divided into three types:homogenous internal echoes (n =14),inhomogenous internal echoes with punctiform hyperecho in brim or internal part (n =7),inhomogenous internal echoes with peripheral hyperecho and hypoecho in internal part (n =3).Color Doppler flow imaging (CDFI) showed that there were no blood flow signal in 17 cases,punctiform blood flow signal in 4cases,point and strip blood flow signal or strip blood flow signal in 3 cases.Local bladder walls were continuous and there were no attenuation behind the tumors.The onset position were:triangular area (n =6),left posterior wall (n =5),internal urethral orifice (n =4),right lateral wall (n =3),right posterior wall (n =3),posterior wall (n =2),left lateral wall (n =1).5 cases were misdiagnosed as bladder carcinoma,and 17 cases were considered as solid tumors,and only 1 case was diagnosed as papilloma,and 1 case was considered as benign lesion.Conclusions The representative ultrasonographic imaging of IPB are mostly single,pedunculated,papillary or cauliflower shape with smooth surface,neck and trigone of bladder are the most risk position.Color Doppler ultrasonography can be used as the important screening process for IPB.