经尿道电切治疗腺性膀胱炎疗效观察

The clinical effects by transurethral resection in the treatment of cystitis glandularis

目的探讨经尿道电切治疗腺性膀胱炎的疗效。方法对84例腺性膀胱炎按治疗方法的不同分为2组，Ⅰ组：经尿道电切；Ⅱ组：经尿道电切＋膀胱内灌注化疗药物，随访各组患者的疗效。结果获得随访79例，总治愈率为75．9％（60／79），随访0．5～1年，Ⅰ组的治愈率为78．8％（41／52），Ⅱ组的治愈率70．4％（19／27）。诱因明确的17例患者在清除病因后全部治愈，诱因不明确者总治愈率为69．4％（43／62）。结论经尿道电切治疗腺性膀胱炎疗效显著，治疗时应积极寻找并清除诱因。

Objectives To study the clinical effects of transurethral resection in the treatment of cystitis glandularis. Methods A retrospective analysis of clinical data of 84 cases was performed. The cases were divided into 2 groups by its treating method. Group I ： Treated by transurethral resection ; Group II ： Treated by transurethral resection combined with bladder instillation of drug. The cases were followed - up to study its effect and prognosis. Results Seventy nine cases were followed up for 0.5 - 1 years. The total curative rate was 75. 9% （60/79）. The curative rate in groups I and II was 78.8% （41/52） and 70.4% （ 19/27 ）. The causes of cystitis glandularis in 17 cases were found and taken off,and all of them were cured. While in the other cases the causes were not found and the curative rate was 69.4% （43/62）. Conclusions The clinical effects of transurethral resection in the treatment of cystitis glandularis is notable. We should try to find and take off the causes of cystitis glandularis when treating it.