76例腺性膀胱炎的治疗和预后分析

76 Cases Treatment and Prognosis of Cystitis Glandularis

目的:探讨病变类型和病变范围不同的腺性膀胱炎的治疗方法和预后。方法:回顾性分析76例腺性膀胱炎患者临床资料:将患者分为对照组9例、抗生素(口服环丙沙星)组18例、膀胱灌注(灌注羟基喜树碱)组26例、经尿道电切术(TUR)+膀胱灌注组23例进行治疗,根据病变类型和病变范围的不同评价治疗效果和预后。结果:全部患者获得随访,时间1～2年。经统计学分析,局限型患者治疗有效率分别为对照组56%,抗生素组63%,膀胱灌注组79%,TUR+膀胱灌注组81%;弥漫型患者对抗生素及膀胱灌注治疗均无效。结论:局限性腺性膀胱炎各个治疗组疗效相同;弥漫性腺性膀胱炎需行TUR+膀胱灌注治疗。

Objective：To investigate the treatment and prognosis for different type and extent of disease of cys titis glandularis. Methods：The clinical data of 76 cases of cystitis glandularis were analyzed retrospectively. The patients were divided into 4 groups： 9 cases in control group, 18 cases in taking eiprofloxacin group, 26 cases in irrigating OPT to bladder group, 23 cases in TUR＋bladder irrigation group. Therapeutic efficacy and prognosis based on type and extent of disease were evaluated. Results： All the patients were followed up 1 to 2 years. The effective power of cases whose extent of disease was localization： control group was 56 %, taking ciprofloxacin group was 63 %, irrigation of bladder group was 79 %, and TUR＋irrigation group was 81 %. The cases whose extent of disease was suffusion were not cured by taking ciprofloxacin or irrigating OPT to bladder. Conclusions： The thera peutic efficacy and prognosis of patient whose extent of disease was localization were same by statistics analysis. The cases whose extent of disease was suffusion can be cured by TUR and irrigation