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目的 探讨炎性假瘤的临床特点及膀胱前间隙炎性假瘤的病因、临床特点和误诊情况。 方法 回顾 4例膀胱前间隙炎性假瘤的诊治经过 ,结合文献分析其临床特点。 结果 4例膀胱前间隙炎性假瘤均累及膀胱前壁 ,其中术前误诊为膀胱肿瘤 2例 ,4例均成功地行肿块连同部分膀胱壁切除手术 ,随访 3个月～ 6年无复发。 结论 既往输卵管结扎术和感染是膀胱前间隙炎性假瘤的重要致病因素 ,结合病史、临床表现和特殊检查仔细分析可以避免误诊 ,手术切除效果佳 ,预后良好。
Objective To investigate the clinical features of inflammatory pseudotumor and the causes, clinical features and misdiagnosis of inflammatory pseudotumor of the anterior bladder. Methods The diagnosis and treatment of 4 cases of anterior bladder interstitial inflammatory pseudotumor were retrospectively reviewed. The clinical features were analyzed based on the literature. Results Four cases of anterior bladder interstitial inflammatory pseudotumor were involved in the anterior bladder wall, of which 2 cases were misdiagnosed as bladder tumor preoperatively, 4 cases were successfully treated with partial resection of the bladder wall, and were followed up for 3 months to 6 years without recurrence. Conclusions In the past, tubal ligation and infection were the important causative factors of inflammatory pseudotumor of the anterior bladder. Combined with the history, clinical manifestations and special examination, we could avoid the misdiagnosis, and the surgical resection effect was good and the prognosis was good.