膀胱白斑的临床诊断

Clinical diagnosis of vesical leukoplakia

目的:探讨膀胱白斑的临床特点及诊断方法,提高诊断水平。方法:分析160例膀胱白斑患者的临床资料。结果:诊断膀胱白斑160例,其中增生型147例,增生、萎缩混合型11例,萎缩型2例。患者膀胱镜检、病理检查、电子显微镜检查可见特征性病理改变。结论:膀胱白斑发病率明显高于文献报道,及时对有间断尿频、尿急、尿痛、血尿、下腹部不适、疼痛的患者进行膀胱镜检,病灶活检是早期发现和诊断膀胱白斑的有效方法。电子显微镜检查可进一步了解病变特点,指导临床诊断治疗。

Objective： To study the clinical characteristics and the diagnostic criteria of vesical leukoplakia. Methods,. Clinical data of 160 patients with vesical leukoplakia were analyzed. Results：The vesical leukoplakia were detected in 160 cases, among them 147cases had vesical leukoplakia hyperplasia, 11 cases had hyperplasia blending atroghy, 2 cases had atrophy, Patients were evaluated for characteristic pathology change with cystoscopy, pathology examination and Electron microscopy. Conclusions： Incidence of vesical leukoplakia is high. To get early diagnosis, cystoscopy and biopsy in time are important for patients with urinary urgency and frequency, urethral and pelvic pain, hematuria. Electron microscopy is useful to know the pathological characteristics.