6例单纯性囊性膀胱炎的诊疗体会

Diagnosis and Treatment of 6 Cases of Simple Cystic Cystitis

目的:探讨单纯性囊性膀胱炎临床表现、诊断依据、治疗和预后。方法:选取2007年1月-2013年1月笔者所在医院收治的6例单纯性囊性膀胱炎,对其临床表现、影像学表现、不同的治疗方案、术后是否给予化疗药物灌注对预后的影响进行分析。结果:其中4例行膀胱部分切除,术后均行化疗药物膀胱灌注,随访第3年有1例出现囊腺性膀胱炎复发,余3例至今未复发。另2例行经尿道等离子电切术,术后均行化疗药物膀胱灌注,随访至今无复发。结论:单纯性囊性膀胱炎是临床上较为少见的膀胱炎类型,其临床表现无特异性,病理诊断是确诊的金标准,易复发是其特点,积极抗感染治疗和术后化疗药物膀胱灌注能有效预防囊性膀胱炎的复发。

Objective： To discuss clinical manifestations and pathological basis, treatment and prognosis of simple cystic cystitis.Method： From January 2007 to January 2013, six cases of simple cystic cystitis in our hospital were selected, their clinical manifestations, imaging findings, different treatment options, whether to give chemotherapy after infusion, the prognosis were analyzed.Result： Four cases with partial cystectomy, postoperative were given intravesical chemotherapy drugs, foUow-up of 3 years, 1 patient had recurrent cystadenomatous cystitis, more than three cases so far were no recurrence.The other 2 cases with transurethral plasma transurethral surgery, intravesical chemotherapy underwent, followed-up without recurrence.Conclusion： Simple cysticcystitis is clinically rare type of inflammation of the bladder, which no specific clinical features, pathological diagnosis is the gold standard for diagnosis, easy to relapse is characterized, by active anti-inflammatory treatment and postoperative intravesical chemotherapy is effective prevention of recurrence of cystic cystitis.