女性腺性膀胱炎不同治疗方法的疗效观察

Follow-up Survey of Effectiveness of Two Therapeutic Methods for Female Glandularis Cystitis

目的比较女性腺性膀胱炎两种治疗方法的效果。方法我们收集2006年4月至2011年4月解放军第205医院泌尿外科通过膀胱镜加病理活检确诊女性腺性膀胱炎62例,并行经尿道电切手术,其中30例术后行膀胱丝裂霉素C灌注治疗。随访1～2年,观察患者症状缓解情况和复发情况。结果 60例完成了随访调查,失访率为3.23%。其中电切组31例,15例症状消失,9例减轻,7例症状没有改善;在电切加丝裂霉素C处理组29例,其中19例症状消失,9例减轻,3例没有缓解,统计学显示两种方法治疗后症状缓解程度,膀胱镜、病理检查结果均无显著性差异(χ2=2.256 P=0.324,χ2=2.317 P=0.128)。结论女性腺性膀胱炎单纯经尿道电切与经尿道电切加膀胱丝裂霉素C灌注的疗效差异无显著性意义。

Objective To compare the effectiveness of two therapeutic methods for female glandularis cystitis.Methods Data were collected during the period from 2006 April to 2011 April from 62 patients who were treated with transurethral electroresection,30 of whom were treated with transurethral electroresection plus bladder instillation of Mitomycin C.The relief of symptoms and recurrence of the patients were observed in the following one to two years.Results 60 patients completed a follow-up survey,whereas 3.23% of the patients were lost touch with.Of 31 cases in the transurethral electroresection group,symptom in 15 cases disappeared,9 were improved and 7 saw no alleviation.In the other group of 29 cases,symptom in 19 cases disappeared,9 were improved,and 3 patients saw no alleviation.According to the data,there was no significant differences in the relief of symptoms,the results of cystoscopy and pathologic examination between the two therapeutic methods groups（χ2=2.256 P=0.324,χ2=2.317 P=0.128）.Conclusion There was no significant differences in the effectiveness between transurethral electroresection and transurethral electroresection plus bladder instillation of drug.