单纯黏膜电切治疗腺性膀胱炎的可行性探讨

目的：探讨仅行黏膜电切而不进行膀胱内灌注化疗药物治疗腺性膀胱炎的可行性及效果。方法：将48例腺性膀胱炎患者分成两组，一组25例为对照组，行黏膜电切（或电灼）加膀胱内灌注化疗药物；一组23例为研究组，仅行膀胱黏膜电切治疗。观察两组术后3个月膀胱镜检查病变有无残留或新发以及症状改善情况，以比较两组的治疗效果。结果：25例对照组中，21例膀胱镜检查正常，病变清除率84％；17例治愈，3例缓解；1例未愈；4例膀胱镜检查病变残留或新发（囊泡或绒毯状），再次电切并膀胱内灌注化疗药物，1例治愈，2例缓解，1例未愈。本组治愈率为72％，有效率为92％。23例研究组中，19例膀胱镜检查正常，病变清除率为83％；16例治愈，2例缓解，1例未愈；4例膀胱镜检查发现残留或新发（绒毯状或微囊泡状），再次行黏膜电切，1例治愈，1例缓解，2例未愈。本组治愈率为74％，有效率为87％。两组比较差异无统计学意义（P〈0．05）。结论：单纯黏膜电切治疗腺性膀胱炎是可行的，可节省治疗费用，节约社会成本。

The Feasibility of Transurethral Electrocision as Only Modality for Cystitis Glandularis

Objective：To evaluate the efficacy and necessity of transurethral electroeision as only modality for cystitis glandularis. Methods：A clinical data of 48 cases was reviewed. The cases were divided into two groups. One group of 25 cases as control was treated by transurethral electrocision or electric coagulation combined with bladder instillation of anti-tumor drugs. The other group of 23 cases as investigation was treated by transurethral electrocision as only modality. The cystoscopy was performed 3 months later after the operation to judge if the disease recurred and the efficacy of the two treatments was compared. Results;Of the control group, 21cases had nor mal cystoscopy show and the remove rate of the lesion was 84%, the cure rate was 72% and the efficacy rate was 9Z%. 17 cases were cured, 3 cases were mitigated and 1 cases was not cured; 4 cases with residual or new lesions （vesicles or carpet-like） by cystoscopy. After electrocision, 1 case were cured, 2 cases were mitigated and 1 cases was not cured. Of the investigation group, 19 cases had normal cystoscopy show and the lesion remove rate was 83%, the cure rate was74 % and the efficacy rate was 87%. 16 cases were cured, 3 cases were mitigated and 1 cases was not cured; 4 cases with residual or new symptoms （vesicles or carpet-like） by cystoscopy. After mueosa eleetrocision, lease was cured, 1 case was mitigated and 2 cases were not cured. There was no significance between the two groups. Conclusions： Using transurethral electro-resection as the main therapy without bladder instil lation of anti-tumor drugs is feasible. This way could decrease patient＇s cost and economize society＇s costs.