165例腺性膀胱炎的临床特征分析

Clinical analysis of 165 cases with cystitis glandularis

目的：探讨腺性膀胱炎（Cystitis Glandularis,CG）的临床特征及诊治方法。方法：对165例CG临床资料进行回顾性分析,其中145例行经尿道汽化电切,对其中有下尿路梗阻的106例行手术治疗;20例仅药物治疗;114例滤泡水肿型CG有44例术后行丝裂霉素（MMC）灌注治疗,39例术后行吡柔比星（THP）灌注治疗,31例没有灌注;有28例绝经后妇女服用和外用雌激素治疗。结果：165例有142例随访6-78个月,术后症状消失者87例,再次复发者55例,出现化学性膀胱炎者82例,并发膀胱癌者2例。结论：下尿路梗阻是引起CG最主要原因,汽化电切是最主要的治疗方法,滤泡水肿型CG应不进行灌注化疗,雌激素治疗绝经后妇女CG有效。

Objective ：To improve the understanding of cystitis glandularis. Methods：A retrospective analysis of clinical 165 cases of cystitis glandularis was made and the experience on its diagnosis and treatment was summed up. Transurethral electroresection was performed in 145 patients. 106 of these patients underwent electroresection of pathological loci of lower urinary obstruction. After surgery 114, cystitis glandularis follicularis patients were divided into three groups, received bladder irrigation. One group was treated by mitomyemc （MMC） of 44 patients, another was piratubicin（THP） of 39 patients, and 31 patients was not irrigated. 28 patients of cystitis glandularis semlis fem- mamm were treated by estrogen. Results： 142 patients of these cases were followed up by 6ms-78ms, 87 cases cured, 55 cases repeated,82 patients showed out chemical cystitis, 2 of them caught carcinoma. 21 patients could not be followed-up. Conclusion：The lower urinary obstruction is the common cause of leading to CG. Transurethral electroresection is the main method of treating CG. Medicine irrigation is unuseful to cystitis glandularis follicularis. Estrogen is useful to cystitis glandularis senilis feminarum.