经尿道等离子电切治疗腺性膀胱炎125例报告

Transurethral plasmakinetic resection in treating 125 patients of cystitis glandularis

目的探讨经尿道等离子电切治疗腺性膀胱炎的临床治疗效果。方法对125例经膀胱镜及病理学检查确诊的腺性膀胱炎行经尿道等离子电切,术后即时予吡柔比星膀胱灌注。结果随访118例,平均随访24(12～52)个月。82例治愈无复发,术后半年复查膀胱镜,见膀胱黏膜逐渐恢复为移行上皮覆盖。12例治疗后6～21个月复发,1例3年内反复复发4次,行膀胱部分切除后治愈,无一例发生恶变。24例术后尿频、下腹痛症状仍然存在。结论经尿道等离子电切联合术后即刻行吡柔比星膀胱灌注华疗是治疗腺性膀胱炎的有效方法。

Objective To elevate the treatment results of cystitis glandularis. Methods One hundred and twenty-five cases of cystitis glandularis were diagnosed by cystoscopy and pathological examination and treated with transurethral plasmakinetic resection and bladder instillation ofpirarubicin postoperation immediately. Results The follow up ranged from 12 to 52 months with mean of 24 months. Of 118 cases, 82 cases were cured with transitional cell coveting the surface of bladder mucosa gradually by cystoscopy 6 months later. 12 cases were improved but relapsed within 6 to 21 months. One case relapsed four times in three years, and recovered after partial cystectomy. No case developed canceration. Conclusion Transurethral plasmakinetic resection is effective for the treatment of cystitis glandularis. Bladder instillation of pirarubicin postoperation immediately is enough.