腺性膀胱炎经门诊诊断筛选与经尿道电切联合丝裂霉素治疗

Traansurethral resection combining with Mitomycin C instillation for the treatment of cystitis glandularis after OPD case screening

目的 对腺性膀胱炎门诊筛选与治疗的有效方法探讨.方法 对具有腺性膀胱炎临床表现的850例患者进行筛选,其中110例证实,经尿道前列腺电切镜切除病变组织及对相关诱因治疗,术后1d采用丝裂霉素20mg膀胱灌注,每周1次,连续6周.结果 110例随访6个月～8年,其中痊愈84例,好转24例.结论 有目的地对此类患者门诊筛选,经尿道切除病变组织,去除导致腺性膀胱炎相关诱因,术后丝裂霉素膀胱灌注,可缓解或治愈腺性膀胱炎.

Objectives To evaluate the comprehensive treatment outcomes the of cystitis glandularis and OPD case screening.Methods After screening of 850 OPD cases with cystitis glandularis clinical manifestation,110 cases were selected.Transurethral resection was preformed followed by Mitomycin C instillation once a week for 6 weeks started from postoperative day one,removing the predisposing factors at same time.Results The follow-up of 110 cases was ranged from 6 month to 8 years,84 fully recovered,24 improved.Conclusions Transurethral resection combining with bladder instillation with Mitomycin C（removing the predisposing factors at the same time） after OPD case screening is an essential therapy of cystitis glandularis.