腺性膀胱炎的诊断与治疗

Diagnosis and treatment of cystitis glandularis

  • 摘要: 目的 探讨腺性膀胱炎发病特点及提高腺性膀胱炎诊治水平。方法 回顾性分析我中心20例腺性膀胱炎病例的临床资料,对其诊断和治疗进行临床总结和分析。结果 术前均采用膀胱镜检查结合病理组织活检证实为腺性膀胱炎,20例患者中15例行经尿道电切术,2例行膀胱部分切除术,3例行保守治疗,所有患者术后均行膀胱灌注治疗。术后随访3-6个月,1例半年后复发且恶变,其余均治愈。结论 膀胱镜检查结合病理组织活检对腺性膀胱炎的诊断具有重要意义。腺性膀胱炎有恶变倾向,在排除膀胱出口梗阻和异物刺激的情况下,经尿道电切术加膀胱药物灌注是有效治疗方法。

     

    Abstract: Objective To improve the diagnosis and treatment of cystitis glandularis by studying its clinical features. Methods Clinical data about 20 cystitis glandularis patients admitted to our center were retrospectively analyzed and experiences with its diagnosis and treatment were summarized. Results Cystitis glandularis was diagnosed in the 20 patients by cystoscopy and biopsy,respectively,before operation.Of the 20 patients,15 underwent transurethral electric excision,2 and 3 received partial cystectomy and conservative treatment,respectively.All patients underwent bladder perfusion therapy after operation.Cystitis glandularis recurred and progressed to malignancy in 1 patient 6 months after operation and cured in the other 19 patients. Conclusion Cystoscopy in combination with biopsy is of great importance for the diagnosis of cystitis glandularis,which tends to become malignant.Transurethral electric excision in combination with drug perfusion is an effective treatment modality for cystitis glandularis when obstruction of bladder outlet and stimulation of foreign body are excluded.

     

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