经尿道吡柔比星黏膜下注射加等离子双极气化电切术治疗腺性膀胱炎（附42例报告）

Treatment of cystitisGlandularis with transurethral plasmakinetic electrovaporization or electroresection and transurethralinjecton of pirarubicin to the the pedicle of cystitis glandularis （a report of 42 cases）

目的探讨应用经尿道吡柔比星黏膜下注射加等离子双极气化电切术治疗腺性膀胱炎的临床价值。方法对42例腺性膀胱炎患者施行经尿道吡柔比星黏膜下注射加等离子双极气化电切术的临床资料进行回顾性分析。结果对本组42例术后进行随访，41例术后症状完全消失，B超检查膀胱壁光滑，膀胱镜检查膀胱粘膜正常，活检无阳性复发1例于术后3个月、6个月、18个月复发。结论经尿道吡柔比星粘膜下注射加等离子双极气化电切术腺性膀胱炎创伤小，恢复快，手术安全，可达到良好的治疗效果，尤其对于病变范围较大者。

Objectives To evaluate the safety, efficacy and morbidity of transurethral plasmakinetic electrova-porization or electroresection and transurethralinjecton of pirarubicin to the the pedicle of cystitis glandularis.Methods Solution of pirarubicin was injected to the pedicle of cystitis glandularis with a special needle, then cys-titis glandularis was carried out. Results All 42 patients were followed up after operation, symptom of 41 patients were fully eliminated wall of urinary bladder was smooth with B-type uhrasonography and bladder mucosa was nor- mal with eystoscopy and without positive finding by biopsy. 1 patients were recurred at 6 months respectively. Conclusions Transurethral plasmakinetic electrovaporization or electroresection combined with pirarubicin injection are simple, effective and safe surgery for the treatment of eystitisglandularis.