| 腺性膀胱炎伴重度不典型增生13例临床分析 |
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| 引用本文： | 潘东亮,管德林,那彦群.腺性膀胱炎伴重度不典型增生13例临床分析[J].现代泌尿外科杂志,2011,16(4):299-301. |
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| 作者姓名： | 潘东亮 管德林 那彦群 |
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| 作者单位： | 北京大学吴阶平泌尿外科医学中心，北京大学首钢医院泌尿外科 北京，100144，中国 |
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| 摘 要： | 日的分析腺性膀胱炎伴重度不典型增生的临床治疗方法。方法介绍2006年12月∽2009年5月在北京大学首钢医院收治的13例腺性膀胱炎伴重度不典型增生患者的治疗经过并随访其预后。术前膀胱镜检均显示膀胱颈部、三角区或／和相邻的左右侧壁多发滤泡和乳头样病变}三角区单发实性块状隆起；病变活检病理为腺性膀胱炎伴重度不典型增生（肿块）、腺性膀胱炎（滤泡及乳头状突起）。结杲12例行经尿道膀胱肿物电切术，术后盐酸吡柔比星30mg膀胱灌注1次／周，连续8次；3、6、9、12个月复查时累计复发病例数分别为2、7、11、11例，此11例在膀胱灌注化疗1次／月后病变消失，随访至2010年2月无复发。1例患者拒绝肿物电切术而接受盐酸吡柔比星30mg长期膀胱灌注1次／周，肿物体积和性质无变化。砖论腺性膀胱炎伴重度不典型增生的治疗宜首选病变切除；不能耐受或不愿行切除手术者可维持长期膀胱灌注化疗，但是必须严密随访并定期活检；首次治疗后未见复发者可继续观察，对于反复复发者可规律膀胱灌注，多数有效。
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| 关 键 词： | 膀胱炎 腺性 增生 不典型 治疗学 |
Clinical analysis of cystitis glandularis combined with severe atypical hyperplasia(a report of 13 cases) |
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| PAN Dong-liang,GUAN De-lin,NA Yan-qun.Clinical analysis of cystitis glandularis combined with severe atypical hyperplasia(a report of 13 cases)[J].Journal of MOdern Urology,2011,16(4):299-301. |
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| Authors: | PAN Dong-liang GUAN De-lin NA Yan-qun |
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| Institution: | PAN Dong-liang,GUAN De-lin,NA Yan-qun(Department of Urology,Wujieping Urology Medical Center,Shougang Hospital of Peking University,Beijing 100144,China) |
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| Abstract: | Objective To analyze the clinical therapeutics of cystitis glandularis combined with severe atypical hyperplasia.Methods Data of 13 cases diagnosed as cystitis glandularis combined with severe atypical hyperplasia were reviewed and the management process and outcomes were recorded.All cases underwent cystoscopy which showed an irregular solid mass of triangle zone and multiple papillary and/or follicular lesions thereabout.Biopsy indicated that the masses were cystitis glandularis combined with severe atypi... |
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| Keywords: | cystitis glandularis hyperplasia atypical therapeutics |
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