摘要
目的 探讨腺性膀胱炎的诊断与治疗效果。 方法 对 2 5例腺性膀胱炎患者行抗感染、经尿道电切加汽化、膀胱药物灌注等治疗。 结果 2 5例随访 6~ 78个月 ,平均 5 8个月。其中治愈 18例 ;6例好转者在 6~ 18个月内复发 ;1例在术后 4年恶变为膀胱腺癌。 结论 在解除膀胱出口梗阻的前提下 ,经尿道电切、汽化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 ,应密切随访。
Objective To evaluate the diagnostic and treatment procedures for cystitis glandularis. Methods 25 cases of cystitis glandularis diagnosed were treated with anti-infection therapy,transurethral resection or electrovaporization and bladder instillation of drug. Results All 25 cases have been followed up 6~78 months with a mean of 58 months..18 cases are cured;6 cases improved,but recurred 6~18 months after treatment;1 case developed bladder adenocarcinoma 4 years after transurethral resection. Conclusions On the premise of relieving the obstruction,transurethral resection or electrovaporization combined with bladder instillation of drug are the most effective treatment.Cystitis glandularis may develop into adenocarcinoma,and close follow-up is therefore necessary.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2000年第9期550-551,共2页
Chinese Journal of Urology