120例腺性膀胱炎的诊断和治疗

Diagnosis and treatment of cystitis glandularis

目的探讨腺性膀胱炎的有效诊断和治疗手段。方法对120例病例采用膀胱镜及病理检查，并行经尿道膀胱病变汽化电切术（transurethral resection，TUR），111例辅以膀胱灌注治疗。结果120例均获5～60个月随访。其中105例治愈，症状完全消失；14例好转，症状基本消失；1例复发，再次手术。结论腺性膀胱炎诊断主要依赖膀胱镜及病理检查，治疗首选TUR和膀胱灌注。定期膀胱镜复查是必需的。

Objective To report the diagnosis and treatment of 120 cases of cystitis glandularis. Methods Cystitis glandularis was diagnosed in 120 patients admitted in our hospital from January 1998 to January 2006. They all underwent cystoscopic examination and transurethral resection of bladder lesion, of whom 111 cases received bladder irrigation in addition. Results Followed up for 5 to 60 months, 105 patients were cured, 14 patients improved and 1 patient needed reoperation due to recurrence. Conclusion The diagnosis of cystitis glandularis mainly depends on cystoscopic examination. Transurethral resection of bladder lesion and bladder irrigation are the first choice in managing cystitis glandularis. Regular postoperative recheck by cystoscope is necessary.