腺性膀胱炎的诊断与治疗(附101例报告)

Diagnosis and Treatment of Cystitis Glandularis (Report of 101 Cases)

目的 :探讨腺性膀胱炎的诊断与治疗 ,提高其治疗水平。方法 :结合文献复习 ,报告 1 0 1例腺性膀胱炎的诊断与治疗方法。结果 :单纯药物治疗 6例 ,2例治愈 ,4例再行电切术治愈。单纯电切术 3 0例 ,术后复发 2例 ,经再次电切治愈。电切术后加用膀胱灌注化疗 63例 ,术后复发 4例 ,均经再次电切及配合其它疗法治愈。膀胱部分切除 1例。全膀胱切除1例。结论 :对病变不太广泛 ,无结石 ,无前列腺增生的病例均可行电切术。对乳头状瘤样型腺性膀胱炎 ,电切不能彻底者应行膀胱部分切除术。全膀胱切除术需行尿流改道 ,患者生活质量下降 ,应慎重进行。

Objective: To discuss and summarize the experience of diagnosis and treatment for cystitis glandularis.Methods:The methods of diagnosis and treatment for 101 cases with cystitis glaudularis were reported in combination with reviewing the literature related.Results:Six patients were initially treated with mitomycin alone,two of them were cured and other four cured following additional transurethral resection.Thirty cases were treated with transurethral resection,two of them recurred and re-transurethral resection was taken.Sixty three patients were treated with transurethral resection and transurethral chemotherapy.Four patients recurred and were treated with re-transurethral resection.Partial cystectomy was undertaken in 1 patient and total cystectomy in another one.Conclusion:patients with small lesion areas,without lithiasis and BPH can be treated with transurethral resection.Partial cystectomy and total cystectomy may result in some problems,and therefore should be restrictedly taken.