女性下尿路症状治疗探讨

Treatment of female lower urinary tract symptoms

目的探讨女性下尿路症状(LUTS)的治疗措施及效果。方法总结39例女性下尿路症状患者,病因包括:腺性膀胱炎12例、间质性膀胱炎6例、膀胱黏膜鳞状化生1例、放射性膀胱炎1例、不明原因4例、尿道口狭窄15例。分别采用药物治疗、膀胱黏膜电灼、膀胱灌注、尿道扩张等方法治疗。评价其临床治疗效果。结果治愈34例,好转3例,有效率94.8%(37/39)。无效2例。结论女性LUTS原因复杂多样,需要综合治疗,个体化治疗。

Objective To evaluate the treatment of female lower urinary tract symptoms（ LUTS） and its effects. Methods Thirtynine female patients with LUTS were reported,including 12 cases of glandular cystitis,6 cases of interstitial cystitis,1 case of squamous metaplasia of the bladder mucosa,1 case of radiation cystitis,15 cases of urethral stenosis and 4 cases without clear causes. Treatment methods included oral medicine,bladder mucosa electrocautery,bladder instillation and urethral dilation. Clinical effects were evaluated. Results Of the patients,34 were cured and 3 were improved,with an efficiency of 94. 8%（ 37 /39）. The other 2 cases got no effectiveness. Conclusion LUTS in female patients is complex with varied reasons. Comprehensive and individualized treatment is needed.