35例腺性膀胱炎的诊断与治疗

目的探讨腺性膀胱炎的临床特点、诊断和治疗。方法对2006年至2010年诊治的35例腺性膀胱炎患者的临床资料进行回顾性分析。结果 35例患者主要症状为尿路刺激症状和血尿,均行膀胱镜检查及膀胱黏膜活检,证实为腺性膀胱炎。35例均行经尿道电切,术后应用丝裂霉素膀胱灌注治疗,随访32例中有26例症状消失,6例症状部分改善,分别于术后5、12及18个月复查发现3例复发,再次治愈后无复发。结论膀胱镜检查及膀胱黏膜组织活检是确诊腺性膀胱炎首选的检查方法,经尿道腺性膀胱炎电切联合术后灌注治疗是治疗腺性膀胱炎有效的方法。

Diagnosis and treatment of 35 patients with cystitis glandularis

Objective To discuss the clinical features,diagnosis and treatment of cystitis glandularis. Methods The clinical data of 35 cases of cystitis glandularis were analyzed retrospectively.Results The main symptoms of 35 patients were urinary tract irritation and hematuria.All the patients underwent cystoscopy and bladder mucosal biopsy,and were confirmed as cystitis glandularis.They underwent the transurethral resection and postoperative intravesical mitomycin C treatment.The follow-up of 32 cases showed that the symptoms disappeared in 26 cases,and symptoms improved partly in 6 patients.The re-examination after 5,12 and 18 months showed that there were 3 cases of recurrence,and they were cured again and had no more recurrence.Conclusions Cystoscopy with bladder mucosal biopsy is a preferred method to diagnose cystitis glandular.The transurethral resection of cystitis glandular combined with reperfusion therapy is an effective method to treat cystitis glandularis.