女性膀胱黏膜白斑的诊断及治疗（附32例报告）

The diagnosis and treatment of female leucoplakia vesicae （32 cases reports ）

目的探讨女性膀胱黏膜白斑的诊断及治疗方法。方法回顾性分析2006年1月-2011年11月共32例女性膀胱黏膜白斑患者的临床治疗。结果32例患者都顺利完成治疗，术后1～3周内症状消失20例，尿检异常者均转正常，术后6—8周症状消失者6例，术后2个月对同时伴发腺性膀胱炎的5例复查膀胱镜，1例腺性膀胱炎复发，再次电切治疗，术后3个月对单纯膀胱黏膜白斑的25例复查膀胱镜检查，均未见膀胱黏膜白斑复发，2例失访。结论膀胱镜检加活检对膀胱黏膜白斑诊断具有重要作用，经尿道电切术治疗膀胱黏膜白斑或／和并发腺性膀胱炎手术方法简单，易于掌握，创伤小、出血少是治疗该病的有效方法。

Objectives To re - evaluate the skills of diagnosis and treatment of female leucoplakia vesicae. Methods The records of 32 cases with leucoplakia vesicae from January 2006 to November 2011 were retro- spectively reviewed. Results 32 cases all successfully underwent the treatment, of which 20 cases of symptoms disappeared in lto 3weeks and 6 cases disappeared in 6 to 8 weeks postoperatively. 5 cases with leucoplakia viscae simultaneously associated cystitis glandularis underwent cystoscopy examination in 2 months later postoperatively , of which one case was found recurrence of cystitis glandularis and underwent transurethral resection of bladder tissue again. 25 cases with simply leuoplakia viscae were re - examined by cystoscopy in 3 months later postoperativel and not found recurrence of leuoplakia viscae, of which 2 cases were lost for follow - up. Conclusions Cystoscopy and biopsy for diagnosis of leuoplakia viscae play an important role and transurethral resection of bladder tissue to treatment of leuoplakia viscae or/and complicated cystitis glandularis is simple, easy to master, less trauma, less bleeding and effective.