腺性膀胱炎的诊治(附38例报告)

目的 探讨腺性膀胱炎的诊断与治疗方法。方法 结合文献复习，回顾分析38例腺性膀胱炎的诊断与治疗的资料。结果单纯药物治疗8例，单纯电切术12例，术后复发2例，经再次电切治愈。电切术后加用膀胱灌注化疗16例．全部治愈。膀胱部分切除2例。结论对腺性膀胱炎病变不太广泛，无结石．无前列腺增生的病例均可行电切术。对乳头状瘤样型腺性膀胱炎．电切不能彻底者应行膀胱部分切除术。全膀胱切除术需行尿流改道，患者生活质量下降，应慎重进行。

Diagnosis and treatment of cystitis glandularis (a report of 38 cases)

Objective To explore the diagnosis and treatment of cystitis glandularis. Methods The diagnosis and treatment of 38 cases with cystitis glandularis were retrospectivety analyzed in combination with literature review. Results 8 patients were initially treated with medicine. 12 cases were treated with transurethral resection, 2 of whom relapsed while cured by re-transurethral resection. 16 patients were treated with chemotherapy by transurethral perfusion after transurethral resection, who were all cured. Partial cystectomy was undertaken in two patients. Conclusion Patients with small lesion sites and no lithiasis BPH can be treated with transurethral resection. Partial cystectomy is performed necessarily in the patients with cystitis papillomatosa who can not be thoroughly treated with transurethral resection. While the total cystectomy should be taken strictly because it needs reconstruction for urine flow and life quality is decreased.