腺性膀胱炎（附15例报告）

Cystitis Glandularis(Report of 15 Cases)

作者报告腺性膀胱炎１５例，主要以膀胱刺激症状、血尿及排尿困难为症状。膀胱镜检查示病变部位最常见于膀胱三角区。均经膀胱镜活检确诊。术后病理检查报告中伴局部癌变１例；伴不典型增生２例。选用经尿道电灼或电切、前半膀胱切除术（切除三角区、颈部和双输尿管口）、全膀胱切除术治疗。取得满意疗效。结合文献对腺性膀胱炎的病因、诊断和治疗及与膀胱癌的关系进行了讨论。

In this paper,we present l5 cases of cysntitis gladularis. The cardinal symptomswere irritation sign of bladder, hematuria and dysuria. Cystoscopy showed that lesion are majorly located at the trigone of urinary bladder.The diagnosis is based on cystoscopy and biopsy.Thepostoperative pathological examination displays concomitant local canceration in l,and concomi-tant atypical hyperplasia in 2.Transurethral fulguration and resection,partical cystectomy(rese-ction of trigone and neck), and total cystectomy are selected in the treatment of cystitis glandularis,the result are satisfying.The etiology,diagnosis and treatment of cystitis glandularis are discussedwith the review of the literature,We also discuss the relationship between the cystitis glandularis and bladder carcinoma.