经尿道双极等离子电灼或电切联合膀胱灌注治疗腺性膀胱炎68例报告

Transurethral plasmakinetic fulguration or resection combined with pirarubicin for cystitis glandularis(report of 68 cases)

目的评价经尿道双极等离子电灼或电切联合吡柔比星膀胱灌注治疗腺性膀胱炎的疗效。方法对病理确诊68例腺性膀胱炎患者(其中合并尿路上皮癌1例),采用经尿道等离子电灼59例,电切9例,对其中37例伴有重度膀胱颈梗阻患者加做膀胱颈圈形电切,术后定期吡柔比星灌注,3～6个月定期膀胱镜复查。结果术后平均随访16个月,膀胱镜见病变黏膜正常63例(92.7%),其中14例症状仅部分缓解,未愈5例(7.4%),需重新电灼或电切,其中1例需开放手术治疗。结论经尿道等离子电灼或电切结合吡柔比星膀胱灌注治疗腺性膀胱炎是一种安全有效方法。术中应同期去除可能的诱因,术后应定期膀胱镜随访。

【Objective】To evaluate the treatment of transurethral plsmakinetic fulguration or resection combined with pirarubicin for infusion efficacy of cystitis glandularis.【Methods】68 patients with pathological diagnosis with cystitis glandularis（including the merger urothelial carcinoma 1 case）,transurethral electrocautery 59 cases,electricity cut in 9 cases,of which 37 cases associated with severe bladder neck obstruction were increased collar-shaped electric cut,after a regular basis pirarubicin infusion,3 to 6 month fixed-term review cystoscopy.【Results】The mean follow-up of 16 months,cystoscopy see the normal mucosa in 63 cases（92.7%）,of which 14 patients with symptoms of only a partial remission,and 5 cases（7.4%） had recurrence after treatment,need to re-electrocautery or electricity cut,of which 1 case required to open surgery.【Conclusion】Transurethral plasmakinetic electrocautery or electric cutting combination of pirarubicin bladder infusion of cystitis glandularis is a safe and effective manner.Operation should be possible to remove the incentive for the same period,patients should regularly follow-up cystoscopy.