膀胱疝脫之放射學診斷

Radiological Diagnosis of Bladder Hernia

張俊寧(Steve G.N. Chang) ； 周宜宏(Yi-Hong Chou) ； 許重權(Chung-Chuan Hsu) ； 刁翠美(Chui-Mei Tiu) ； 王家槐(Jen-Huey Chiang) ； 姜仁惠(Jia-Hwia Wang) ； 張遵(Tsuen Chang)

《中華放射線醫學雜誌》 13卷4期 (1988/12) Pp. 391-396

摘要

膀胱疝脫並非少見，文獻報告所有成人腹股溝疝脫中有膀胱疝脫者佔l%，本文收集五例，年紀自55歲至72歲之男性患者，臨床上分別有單側或雙側腹溝股疝脫，以頻尿、夜尿、解尿困難症狀，被認爲良性攝護腺肥大而延誤診斷，茲就膀胱疝脫的影像學在靜脈注射泌尿系攝影(IVU)和逆行性排尿膀胱尿道攝影(VCUG)和超音波(US)檢查的診斷率及開刀結困作一比較和討論。我們認為對於膀胱疝脫的影像學診斷，us檢查不失為一理想工具，可提供外科醫師於開疝脫術時避免傷及膀胱。

關鍵字

膀胱疝脫 ； 腹股溝疝脫 ； 陰囊膀胱疝脫

並列摘要

Bladder hernia is not uncomon. It has been reported to occur in approximately 1% of inguinal hernias. Five old male patients, ages 5-5-72 years old, haviag inguinal hernias, were diagnosed to have bladder hernia using ultrasound (US). Since they all had complaints of frequency urgency, nocturia and dysuria, benign prostate hyper-trophy were clinically suspected. Here we demonstrated the diagnostic bladder hernia by various image modalities including US, intravenous pyelography and voiding cystourethrography. Their findings were compared with operative results. We found that US is an ideal imaging modality for recongnizing the presence of bladder hernia and preventing it from injury during herniorrhaphy.

並列關鍵字

bladder hernia ； inguinal hernia ； scrotal cystoceles