腺性膀胱炎治疗分析(附46例报告)

Diagnosis and treatment of cystitis glandularis(Report of 46 cases)

目的:探讨不同阶段及不同程度腺性膀胱炎的治疗方法。方法:回顾性分析46例腺性膀胱炎患者资料。采用经尿道电切术治疗后表柔比星(EPI)膀胱灌注34例,保守治疗12例。结果:随访6～24个月。手术治疗组和保守治疗组尿频、尿急缓解率分别为53.7%和60.0%,血尿缓解率分别为72.7%和60.6%,排尿困难缓解率均为100.0%下腹胀痛缓解率分别为64.7%和50.0%;两组均无癌变病例。结论:病变广泛且较重者宜首选经尿道电切加化疗。病变轻微的腺性膀胱炎者,手术治疗与保守治疗效果相近。

Objective：To investigate the optimal treatment for different stages and severity of cystitis glandularis. Method：The clinical data of 46 cases of cystitis glandularis were reviewed.Of 46 cases,34 were treated bytransurethral resection（surgical group） and 12 were treated conservatively（medication group）. Result：All the patients were followed up for6 to 24 months.The remission rate of frequentmicturition,urgentmicturition in surgical and medical groupswas 53.7% and 60.0%,respectively.The remission rate of hematuriawas 72.7% and 60.0%,respectively.The remissionrate of difficulty of urination was 100.0% respectively.The remission rate of abdominal distentionwas64.7% and 50.0%,respectively.No canceration occurred in both groups. Conclusion：For severe and extensive lesions or papilloma,the transurethral resection should be preferably performed.Medical therapy is the first choice of treatment for the superficial lesion detected incidentally by biopsy.It has the same satisfactory effectas surgery.