摘要
目的提高腺性膀胱炎诊疗水平。方法腺性膀胱炎患者32例,膀胱镜检膀胱黏膜表现为滤泡样或绒毛样、乳头样、慢性炎症改变。经尿道电切术加丝裂霉素或吡柔比星膀胱灌注,规律治疗1年,方案为每周1次共8次,其后每月1次共10次,定期做膀胱镜检查。结果随访7-36个月,平均18个月。28例痊愈,4例复发,无恶变病例。结论经尿道电切,术后丝裂霉素或吡柔比星膀胱灌注治疗腺性膀胱炎,疗效满意、毒副作用低,是治疗腺性膀胱炎的较好方法。
Objective To present the clinical features of cystitis glandularis and improve the diagnosis and treatment. Methods 32 cases of cystitis glandularis were reviewed. Cystoscopic examination displayed follicular orvillous, papil lomatous, chronic inflammation change. Transurethral electronresection was performed. After surgery all the cases received mitomycin-c or pirarubicin bladder irrigation regularly for 1 year, once a week for two months, and then once a month for ten months. During the follow-up cystoscopy was periodically performed. Results During the 18 months follow-up (ranging 7.36 months), 28 cases fully recovered, 4 had relapse. No case developed adenocarcinoma. Conclusion Transurethral electronresection combined with irrigation of bladder with mitomycin-c or pirarubicin is effective with less side effect for cystitis glandularis.
出处
《现代泌尿外科杂志》
CAS
2006年第2期96-98,共3页
Journal of Modern Urology
关键词
腺性膀胱炎
膀胱灌注
经尿道电切
cystitis glandularis
irrigation of bladder
transurethral electronresection