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OBJECTIVES:To study CT finding and the value of retrograde cystography CT scan in thediagnosis of bladder diverticulum.MATERIAL AND METHODS:The study was performed in accordance with the regulations of the localinstitutional review board and ethics committee. Written, informed consentwasobtained from all patients before the examination and enrolment into thestudy. 70 patients with bladder diverticulum (mean age 62 years; range 43-78 years, 39 males and 31 females) were examined, including ultrasound, X-raycystogram, plain scan CT, contrast enhanced CT, the retrograde cystogramCT, compared the accuracy of these examination in diagnosis of bladderdiverticulum and observed size, location, shape, opening of bladderdiverticulum. Selection and diagnosis of all patients of enrolled into thestudy were confirmed by cystoscopy. But, this result was double-blind to theresident doctors for them examined and diagnosed. Three examination wereselected for each patient, the first examination was random, the second wasthe plain scan CT, the third was the retrograde cystogram CT, all patientswere must examined by the plain scan CT and retrograde cystogram CT.RESULTS:In 70 patients, 22 case were examined by ultrasonic, 15 cases were accuratediagnosed, 4 cases were examined by X-ray cystography, 3 cases wereaccurate diagnosed, 70 cases were examined by plain scan CT, 48 cases wereaccurate diagnosed, 17 cases were examined by contrast enhanced CT, 12 caseswere accurate diagnosed, 70 cases were examined by retrograde cystographyCT, 70 cases were accurate diagnosed, retrograde cystographyCT well showed the size, location, shape, opening of the bladderdiverticulum, while others examination showed these were poor.CONCLUSIONS:Retrograde cystography CT could accurately diagnose bladder diverticulum,clearly showed the size, location, shape and opening of bladder diverticulum, could provide accurate and detailed information for clinical, thus it is asimple, effective and economical method of the diagnosis of bladderdiverticulum.
Journal of X-Ray Science and Technology – IOS Press
Published: Jul 1, 2015
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