经尿道等离子电切加丝裂霉素膀胱灌注治疗腺性膀胱炎56例

Transurethral Plasmakinetic Resection and Bladder Instillation with Mitomycin in Treating 56 Patients of Cystitis Glandularis

【目的】提高腺性膀胱炎的临床治疗效果.【方法】对56例经膀胱镜及病理学检查确诊的腺性膀胱炎行经尿道等离子电切,术后丝裂霉素膀胱灌注.【结果】56例患者随访1～3年,49例临床治愈,7例好转患者均于两年内复发,其中5例经再次电切及丝裂霉素膀胱灌注后治愈,2例无效行膀胱部分切除后治愈,无一例恶变.【结论】经尿道等离子电切加丝裂霉素膀胱灌注是治疗腺性膀胱炎的有效方法.

[Objective]To elevate the treatment results of cystitis glandularis. [Methods]Fifty-six cases of cystitis glandularis were diagnosed by cystoscopy and pathological examination and treated with transurethral plasmakinetic resection and bladder instillation of mitomycin. [Results]The follow up was ranged from 12 to 36 months with mean of 19 months. Of all 56 cases, 49 cases were fully cured with transitional cell covering the surface of bladder mucosa gradually,7 cases were improved but relapsed within 24 months and 5 cases recovered after treated with transurethral plasmakinetic resection and bladder instillation of mitomycin again, 2 cases of failure were treated by partial cystectomy. [Conclusion] Transurethral plasmakinetic resection and bladder instillation of mitomycin are effective for the treatment of cystitis glandularis.