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腺性膀胱炎的诊断与治疗(附38例报告) 被引量:10

Diagnosis and treatment of glandular cystitis: Report of 38 cases
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摘要 目的探讨膀胱镜在腺性膀胱炎的诊断和治疗中的应用。方法 膀胱镜检查和活检,病理诊断为腺性膀胱炎38例,电切镜下行病灶电切/电灼术,术后丝裂霉素膀胱灌注化疗(每周1次,共8次,其后每月1次,共10次)。结果38例随访6-12个月,29例治愈,膀胱黏膜逐渐恢复为移行上皮覆盖;症状缓解5例;复发4例。结论膀胱镜检查对腺性膀胱炎的诊断具有重要参考价值,经尿道电切镜下病灶电切/电灼术联合术后丝裂霉素膀膛灌注化疗,对腺性膀胱炎治疗效果明显。 Objective To investigate the use of cystoecpy in the diagnosis and treatment of glandular cystitis.Methods A total of 38cases of glandular cysitis was pathologieally diagrosed under eystoseopy.The patients were treated by transurethral electric reseetion.After surgery a chenmotherapy with mitomyein-c bladder irrigation was given once weekly for 8times and then once monthly for10 times.During the follow-up a cystoscopy was periodieally performed and biopsy sumples were pathologically examined with all the cases.Results The follow-up checkups were made for6-12months in 38cases.Of the 38cases.39cases were cured (with transitional cell surface covering the bladder musoca gradually),5 were symptomationlly relieved.and 4were found relupsd.Conclusions Cystoscopy can offer valuable help for the diagnosis of glandular oystitis .Treatments with transurethral electrie reseetion and initomyein- c blader irrigation are effective for glandular cystitis.
出处 《中国微创外科杂志》 CSCD 2006年第11期888-889,共2页 Chinese Journal of Minimally Invasive Surgery
关键词 膀胱镜 腺性膀胱炎 电切术 Cystoscopy Glandular eystitis Elactric resection
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