摘要
目的 :探讨间质性膀胱炎的诊断及治疗。方法 :对16例根据NIADDK诊断标准确诊的间质性膀胱炎的临床资料进行分析 ,总结该病特点及治疗效果。结果 :16例间质性膀胱炎中仅2例膀胱镜检查发现典型Hunner溃疡。无溃疡型14例 (87.5 % ) ,膀胱平均容量285ml;组织病理学报告4例 (25% )无炎性表现;12例膀胱呈非特异性炎性表现 ,其中有3例 (25% )是粘膜下层组织肥大细胞明显增多。治疗用膀胱药物灌注 ,膀胱水压扩张及口服药物。12例(75% )有明显效果。结论 :间质性膀胱炎诊断及治疗困难 ,易误诊而延误治疗 ,诊断主要依靠典型临床症状 ,膀胱镜检及病理学改变。大多数病人采取综合治疗可获得明显疗效。
Objective:To investigate the clinical diagnosis and treatmentof interstitial cystitis.Methods:Clinical data of 16 cases with interstitial cystitis confirmed by NIADDK diagnostic standard were analysed retrospectively,and the characteristics and curative effects of this disease were summarized.Results:Typical Hunner's ulcer was found only 2 cases by cystoscopic examination,non-ulcer in 14 cases(87.5%).The average capacity of bladder was 285 ml.Histopathological examination revealed no inflammation in 4 cases(25%) and chronic inflammation in 12 cases.Of them,the mast cells in the submucosa increased markedly in 3 cases,12 cases(75%) showed the evident effects by treatment of intravesical administration,hydrodistention and taking medicines.Conclusion:Diagnosis and treatment of interstitial cystitis is relatively difficult,and apt to misdiagnosis,whose diagnosis is mainly relied on specific symptoms,cystoscopy and histopathology.The majorit of patients may obtain good effects by complex treatment.
出处
《现代医药卫生》
2004年第15期1459-1460,共2页
Journal of Modern Medicine & Health
关键词
间质性膀胱炎
治疗
诊断
组织病理学
Cyctitis,interstitial
Inflammation
Diagnosis and therapeutics
