经尿道电切联合膀胱灌注治疗腺性膀胱炎34例

Transurethral resection combined with Adriamycin bladder instillation for the treatment of 34 cases of cystitis glandularis

目的探讨腺性膀胱炎的微创治疗方法。方法选择南方医科大学第五附属医院2009年1月-2012年10月女性腺性膀胱炎患者34例，采用经尿道电切镜下电切除病变组织，术后1周开始用多柔吡星30mg膀胱灌注，每周1次，连续8次；以后每月1次，维持至1年，对疗效进行观察。结果随访7-36个月，34例患者中痊愈28例，好转6例。术后每3-6个月复查膀胱镜，以后每12个月复查1次。结论经尿道电切同时去除导致腺性膀胱炎的相关诱因，术后多柔吡星膀胱灌注，可治愈或缓解腺性膀胱炎。术后定期复查膀胱镜是必要的。

Objective To evaluate the minimally invasive therapy outcomes of cystitis glandularis. Methods 34 female patients with cystitis glandularis diagnosed by cystoscopic examination in the Fifth Affilitated Hospital of Nanfang Medical University from January 2009 to October 2012 were selected. Transurethral resection was performed followed by Adriamyein bladder instillation once a week for 8 weeks, then once a month for 1 year. The curative effect was ob- served. Results The mean follow-up was 18 months （range 7 to 36 months）. Of the 34 cases, 28 cases with full recov- ery and 6 cases with improvement were found. Cystoscopic examination was performed in 3-6 months postoperative, and recheck for every year postoperative. Conclusion Transurethral resection together with the bladder instillation with Adriamyein is the essential therapy for cystitis glandularis. Regular postoperative recheck by cystoscope is necessary.