【摘要】 目的 分析超聲對腺性膀胱炎的誤、漏診原因，探討減少其誤、漏診的方法?！》椒ā』仡櫺苑治?006年1月-2010年2月經(jīng)病理證實(shí)的135例腺性膀胱炎的聲像圖表現(xiàn)?！〗Y(jié)果 135例腺性膀胱炎患者中，超聲誤診26例，誤診率19.3%，漏診11例，漏診率8.2%。誤診的主要原因：乳頭結(jié)節(jié)型和團(tuán)塊型與膀胱腫瘤聲像圖極為相似、容易混淆，超聲醫(yī)師對膀胱壁各層次的觀察不仔細(xì)，對病史重視不夠；漏診的主要原因：膀胱充盈不佳或不充盈，病變體積太小、位于前壁或頂部，或病變位于膀胱后壁及頸部被明顯增生的前列腺、膀胱內(nèi)血凝塊及膀胱結(jié)石等掩蓋?！〗Y(jié)論 超聲是診斷腺性膀胱炎常用方法，但存在一定的誤、漏診，改進(jìn)檢查方法，可減少其誤、漏診發(fā)生。【Abstract】 Objective To analyze the reasons of missed diagnosis and misdiagnosis of glandularis cystitis by ultrasonography. Methods The sonographic outcomes of 135 patients with glandular cystitis diagnosed by pathological examination from January 2006 to February 2010 were retrospectively analyzed. Results In 135 patients, misdiagnosis was in 26 with a rate of 19.3%, missed diagnosis was in 11 with a rate of 8.2%. The reasons of misdiagnosis included: the sonographic outcomes of mastoid and tuberculous conglomeration were similar to those of bladder tumour; the ultrasonographic professionals didn’t clearly observe each layer of the bladder wall, and didn’t pay enough attention to the disease history. The reasons of missed diagnosis included: the bladder was under-filled or unfilled, the size of the lesions were too small and were located at the anterior wall or the top, and the lesions were located at the posterior wall and neck of the bladder which were covered up by obvious prostate hyperplasia,and gores or stones of bladder so that the lesions could not be observed. Conclusion Ultrasonography is a usual method for diagnosing glandular cystitis,and we should ameliorate the examination to decrease the misdiagnosis and missed diagnosis.