女性腺性膀胱炎合并膀胱颈梗阻29例

Cystitis glandularis accompanied with urinary bladder neck obstruction in female:Report of 29 cases

目的:探讨女性腺性膀胱炎的诊疗方法。方法:女性腺性膀胱炎合并膀胱颈梗阻29例均采用经尿道病变电切汽化治疗和膀胱颈电切术,对病变范围较大者,同时行药物注射治疗。结果:29例随访6～18个月,复发2例。治愈率为93.10%。结论:梗阻是引起女性腺性膀胱炎的重要原因之一。放宽膀胱镜检查指征是防止漏诊的主要措施。经尿道电切为治疗该病的首选方法,电切后同时行药物注射治疗能提高治愈率。

Objective：To discuss the diagnosis and treatment of cystitis glandularis in women. Methods：Twenty-nine cases of cystitis glandularis and urinary bladder neck obstruction were treated with transurethral electrovaporization and electrocision, and injection of medication was also administered to the the cases with large extent of lesion. Results： All the cases were followed up for 6 - 18 months. Two of the cases relapsed. The curative rate was 93.10%. Conclusions：The urinary obstruction is one of the common causes of cystitis glandularis. Indication of cystoscope examination should be widened to prevent missed diagnosis. Transurethral electronresection is the first choice for the treatment,and administration of drug injection after surgical therapy may improve the curative rate .