| 摘要: |
| 目的: 探讨膀胱平滑肌瘤的超声声像图特征。方法：回顾性收集我院2003年1月至2018年1月经膀胱手术后病理诊断为膀胱平滑肌瘤的16例患者,将术前彩超检查的声图像表现与术后病理结果进行对比分析。 结果：16例均为单发病灶,生长于膀胱壁,宽基底,内部均匀低回声,边界清晰,呈膨胀性生长,突向膀胱腔内,表面覆盖强回声的膀胱粘膜,其余膀胱壁光滑,11例为圆形,4例为椭圆形,1例为分叶状,彩色多普勒显示5例可见基底部少量血流信号,11例未见明显血流信号。彩超检查考虑膀胱癌5例,膀胱良性肿瘤4例,仅提示膀胱占位性病变或性质待定7例。 结论：膀胱平滑肌瘤声像图表现具有一定的特征性,检查者应加强对该病的认识,提高诊断符合率,为临床治疗提供帮助。 |
| 关键词: 膀胱 平滑肌瘤 超声 |
| DOI： |
| 投稿时间：2018-11-07修订日期：2018-11-23 |
| 基金项目: |
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| Ultrasonic diagnosis of bladder leiomyoma |
| zhangyu,xueensheng |
| () |
| Abstract: |
| Objective Bladder Leiomyoma is a benign bladder tumor with a very low incidence, which is derived from mesenchymal tissue. We discuss the ultrasonographic features of bladder leiomyoma in order to help with the correct diagnosis. Methods 16 cases of patients with bladder leiomyoma were reviewed which were hospitalized in Union Hospital of Fujian Medical University during 2003 to 2018. All of the patients underwent ultrasound examinations before surgery, analysis of ultrasound images and pathological results. Results All 16 cases are single lesion in the bladder wall, with clear boundary and wide base, ultrasound shows bladder leiomyoma as a solid flat hypoechoic tumor with hyperechoic mucosal lining.The continuity of the bladder wall is still complete. Circular shape was in 11 cases, 4 cases were oval and 1case was lobulated. Blood signals were found in 5 cases, while 11 cases showed no signals. Ultrasonic diagnosis bladder cancer in 5 cases, bladder benign tumor in 4 cases, diagnosis is not positive in 7 cases. Conclusions There are some specific characteristics of bladder leiomyoma in ultrasound images, such as the surface of the leiomyoma is covered with complete mucous membranes. Inspectors should strengthen the understanding of the disease, improve the diagnostic coincidence rate and provide help for clinical treatment. |
| Key words: Ultrasonography Urinary bladder Leiomyoma |
