嗜酸性膀胱炎3例报告并文献复习

目的:探讨嗜酸性膀胱炎的临床诊断和诊治方法.方法:回顾性分析3例嗜酸性膀胱炎患者临床资料,并结合相关文献综合分析讨论本病病因学、诊断和治疗.结果:3例患者起病均有膀胱下尿路刺激症状、镜下或肉眼血尿,B超见膀胱壁增厚和(或)膀胱新生物.经膀胱镜检查并活检确诊为嗜酸性膀胱炎.其中1例患者经电切后口服抗感染、抗过敏药物后好转,1例考虑为寄生虫感染患者加用抗寄生虫药物后好转;1例病灶电切后反复发作,经仔细追问病史,患者有虾蟹过敏史,经抗过敏及禁食虾蟹后未再发作.随访18～128个月,平均随访72个月,预后良好.结论:嗜酸性膀胱炎确诊需要膀胱镜检查及组织活检.治疗上以消除病因,切除病变组织和抗炎、抗过敏等治疗方法.本病容易复发,需要长期强制性随访.

Eosinophilic cystitis:Report of 3 cases and review of the literature

Objective:To investigate the clinical diagnosis and treatment of eosinophilic cystitis.Methods:Three cases of eosinophilic cystitis was reported, the etiology, diagnosis and treatment were analyzed, the related literature was reviewed. Result:All the 3 patients had lower urinary tract symptome, 2 had micrscopic hematuria, 1 had gross hematuria. Bladder wall thickenning phenomenon was found in all three patients, and bladder neoplasms were found in two by ultrasonography. Diagnosis of eosinophilic cystitis w...