临床误诊误治2023,Vol.36Issue(10) :18-21.DOI:10.3969/j.issn.1002-3429.2023.10.005

腺性膀胱炎误诊为膀胱肿瘤临床分析

Clinical Analysis of Adenocarcinoma Cystitis Misdiagnosed as Bladder Tumor

赵爱莲 刘瑞剑
临床误诊误治2023,Vol.36Issue(10) :18-21.DOI:10.3969/j.issn.1002-3429.2023.10.005

腺性膀胱炎误诊为膀胱肿瘤临床分析

Clinical Analysis of Adenocarcinoma Cystitis Misdiagnosed as Bladder Tumor

赵爱莲 1刘瑞剑2
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作者信息

  • 1. 017000 内蒙古自治区鄂尔多斯,鄂尔多斯市中心医院检验科
  • 2. 017000 内蒙古自治区鄂尔多斯,鄂尔多斯市中心医院泌尿外科
  • 折叠

摘要

目的 探讨腺性膀胱炎早期误诊为膀胱肿瘤的原因及防范措施.方法 回顾性分析 2021 年 2 月—2022 年10 月收治术前误诊的腺性膀胱炎11 例的临床资料.结果 11 例以不同程度尿频、尿急、尿痛伴或不伴肉眼血尿、排尿困难、下腹部胀痛等为主要症状就诊,结合经腹超声检查结果,初步诊断为膀胱肿瘤,不排除恶性可能.为鉴别肿瘤性质,行膀胱镜下活检术,确诊为腺性膀胱炎.误诊时间为5~7d.11 例确诊后予经尿道电气化术联合药物膀胱灌注治疗,治疗结束后2~3 个月,复查膀胱镜膀胱黏膜恢复正常.结论 腺性膀胱炎发病率较低,早期临床表现、超声声像学表现多样且无特异性,在未行膀胱镜和手术病理检查前易误诊为膀胱肿瘤.

Abstract

Objective To investigate the causes of early misdiagnosis of glandular cystitis as bladder tumor and the preventive measures.Methods The clinical data of 11 patients with glandular cystitis who were misdiagnosed before surgery from February 2021 to October 2022 were retrospectively analyzed.Results The main symptoms of 11 cases were frequent urination,urgent urination,urinalgia,with or without gross hematuria,dysuria,and lower abdominal distension.Combined with the results of transabdominal ultrasonography,the preliminary diagnosis was bladder tumor,and the possibility of malig-nancy could not be ruled out.To identify the nature of the tumor,cystoscopic biopsy was performed and glandular cystitis was confirmed.The misdiagnosis lasted 5-7 d.After diagnosis,11 cases were treated with transurethral electrification combined with drug bladder perfusion.At 2-3 months after treatment,the bladder mucosa returned to normal by cystoscopy.Conclusion The incidence of glandular cystitis is low,and the early clinical and ultrasound imaging manifestations are varied and non-specific.Therefore,it is more likely to be misdiagnosed as bladder tumor before cystoscopy and pathological examination.

关键词

腺性膀胱炎/误诊/膀胱肿瘤/血尿/膀胱刺激征/超声检查/膀胱镜检查/病理检查

Key words

Glandular cystitis/Misdiagnosis/Bladder tumors/Hematuria/Bladder irritation sign/Ultrasonography/Cystoscopy/Pathological examination

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出版年

2023
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子:0.914
ISSN:1002-3429
参考文献量19
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