本文選題：氯胺酮相關(guān)性膀胱炎 + 體層攝影術(shù)��； 參考：《臨床放射學(xué)雜志》2017年03期

【摘要】：目的總結(jié)氯胺酮相關(guān)性膀胱炎(KIC)的CT、膀胱造影及IVP表現(xiàn)。方法回顧性分析41例長期吸食氯胺酮且出現(xiàn)嚴重膀胱刺激征患者的CT、膀胱造影及IVP資料,探討KIC的影像學(xué)特點。結(jié)果25例行CT檢查,均見膀胱攣縮,呈"葫蘆征"、"鳥嘴征"改變,壁不規(guī)則增厚,雙側(cè)壁及(或)前壁增厚16例(64.0%),膀胱全壁增厚5例(20.0%),膀胱壁結(jié)節(jié)狀增厚2例(8.0%),右側(cè)壁及后壁各1例(4.0%),平均增厚約10.4 mm(10.4±4.8,4~25 mm),平掃密度平均為39.4 HU(39.4±3.4,35~46 HU),增強掃描密度平均為54.4 HU(54.4±4.9,50~66 HU),并見明顯強化不規(guī)則增厚的膀胱黏膜線。發(fā)現(xiàn)不同程度上尿路擴張11例(44.0%),其中的10例輸尿管下段管壁增厚,另外1例雙側(cè)輸尿管全程增厚及雙腎實質(zhì)損傷。3例(12.0%)合并膀胱結(jié)石。32例行膀胱造影,29例(90.6%)膀胱邊緣不光滑,嚴重者囊袋狀向外突出,多數(shù)容量明顯減小,小于100 ml 26例(81.3%),6例大于100 ml,發(fā)現(xiàn)輸尿管反流10例(31.3%)。15例行IVP檢查,膀胱壁邊緣不光滑,7例(46.7%)輸尿管擴張,2例(13.3%)輸尿管出口狹窄。結(jié)論KIC具有一定的影像學(xué)特征,CT、膀胱造影、IVP三者結(jié)合有助于提高對KIC的全面觀察,提高診斷準確率。
[Abstract]:Objective to summarize the CT, cystography and IVP findings of ketamine associated cystitis. Methods the CT, cystography and IVP data of 41 patients with chronic ketamine smoking and severe bladder irritation were analyzed retrospectively, and the imaging features of KIC were discussed. Results in 25 cases, bladder contracture was found in all cases, showing "gourd sign", "bird mouth sign" and irregular thickening of wall. Bilateral wall and / or anterior wall thickened in 16 cases, bladder wall thickened in 5 cases, bladder wall nodule thickened in 2 cases, right wall and posterior wall in 1 case, the average thickening was about 10.4 mm(10.4 鹵4.8n 425mm, the average plain scan density was 39.4 HU(39.4 鹵3.4 鹵3.35 鹵46 HUT. The results were 54.4 HU(54.4 鹵4.9 HU(54.4, and obviously enhanced irregularly thickened bladder mucosal lines. It was found that there were 11 cases of urinary tract dilatation in varying degrees, including 10 cases with thickening of the lower ureter wall, 1 case with bilateral ureteral thickening and 3 cases with bilateral renal parenchyma injury (12.0) with bladder calculi. 32 cases with cystography and 29 cases with urography. In severe cases, most of the sacs protruded outward, and most of the volume decreased significantly. 26 cases with ureteral reflux less than 100ml (81.3 ml) were found to have ureteral reflux in 6 cases (> 100ml). Ureteral reflux was found in 10 cases (31. 3%). 15 cases were examined with IVP, 7 cases with non smooth bladder wall and 7 cases with dilatation of ureter, 2 cases with ureteral dilatation and 2 cases with ureteral outlet stenosis. Conclusion KIC has some imaging features. The combination of cystography and IVP can improve the overall observation of KIC and improve the diagnostic accuracy.
【作者單位】： 南方醫(yī)科大學(xué)珠江醫(yī)院放射科;
【分類號】：R694.3;R816.7

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1 張培功;;膀胱造影CT對膀胱外傷的評價[J];國外醫(yī)學(xué)(臨床放射學(xué)分冊);1991年06期

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4 張濤 ,韓春芳;CT膀胱造影[J];國外醫(yī)學(xué)(臨床放射學(xué)分冊);2001年01期

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