腺性膀胱炎的诊断与治疗

Diagnosis and treatment of cystitis glandularis

目的 探讨腺性膀胱炎发病特点、诊断与治疗效果 ,提高腺性膀胱炎的诊治水平。方法 对 38例腺性膀胱炎患者进行抗感染、经尿道电切 (TUR)、膀胱内药物灌注等治疗。结果 38例随访 6 - 36个月 ,治愈 32例 ,好转 2例 ,无效 4例 ,1例TUR后 9个月复发 ,38例随访未发现恶变倾向。结论 膀胱镜检查结合组织活检对腺性膀胱炎的早期诊断具有重要意义 ;腔内手术加膀胱药物灌注是腺性膀胱炎的有效治疗方法 ;腺性膀胱炎有恶变倾向 。

Objectives To elucidate the pathogenesis,diagnosis and treatment of cystitis glandularis and elevating the diagnosis and treatment level of cystitis glandularis.Methods 38 cases of systitis glandularis diagnosed were treated with anti-infection therapy,transuretheral resection and bladder instillation of drugs.Results All 38 cases have been followed up for 6-36 months.32 cases were cured,2 cases improved and 4 cases unchanged.1 cases was recurred 9 months after for TUR.No adenocarcinoma were noted. Conclusions Cystoscope examination with pathologic studies was important in the early diagnosis of cystitis glandularis.Transurethral operation combined with bladder instillation of drugs is the choice of treatment.Cystitis glandularis may develop into adenocarcinoma,and close follow up is therefore necessary.