单纯粘膜电切治疗腺性膀胱炎（附51例报告）

Transurethral Electrocision as Only Modality for Cystitis Glandularis

目的：探讨仅行粘膜电切而不进行膀胱内灌注化疗药物治疗腺性膀胱炎的可行性及效果。方法：将51例腺性膀胱炎患者分成两组，一组26例为对照组，行粘膜电切（或电灼）加膀胱内灌注化疗药物；一组25例为研究组，仅行膀胱粘膜电切治疗。观察两组术后3个月膀胱镜检查病变有无残留或新发以及症状改善情况，以比较两组的治疗效果。结果：两组比较差异无统计学意义（P〈0．05）。结论：单纯粘膜电切治疗腺性膀胱炎是可行的，可节省治疗费用，节约社会成本。

Objective To evaluate the efficacy and necessity of transurethral electrocision as only modahty for cystitis glandularis. Methods A clinical data of 51 cases was reviewed.The cases were divided into two groups.One group of 26 cases as control was treated by transurethral electrocision or electric coagulation combined with bladder instillation of antitumor drugs.The other group of 25 cases as in- vestigation was treated by transurethral electrocision as only modality.The cystoscopy was performed 3 months later after the operation to judge if the disease recurred and the efficacy of the two treatments was compared. Result There was no significance between the two groups （P〈0.05）. Conclusions Using transurethral electroresection as the main therapy without bladder instillation of antitumor drugs is feasible. This way could decrease patients cost and rconomize societys costs.