腺性膀胱炎治疗分析(附89例报告)

目的　探讨不同阶段及不同程度腺性膀胱炎的治疗方法。　方法　回顾性分析 89例腺性膀胱炎患者资料。男 37例 ,女 5 2例。年龄 2 4～ 76岁。病变位于膀胱颈、三角区输尿管口周围者79例 ,累及侧壁、底部者 4例 ,后尿道者 2例 ,连接成片或多灶性分布者 4例。　结果　经尿道电切术治疗 5 3例 ,保守治疗 36例。随访 6～ 2 4个月。手术治疗组和保守治疗组尿频、尿急缓解率分别为5 6 .3%和 6 0 .0 % ,血尿缓解率分别为 78.6 %和 6 4 .7% ,排尿困难缓解率分别为 10 0 .0 %和 5 0 .0 % ,下腹胀痛缓解率分别为 6 1.9%和 76 .0 % ;两组均无癌变病例。　结论　病变轻微的腺性膀胱炎者 ,手术治疗与保守治疗效果相同 ;病变广泛者和乳头状瘤型者宜首选经尿道电切术治疗

Diagnosis and treatment of cystitis glandularis ( report of 89 cases)

Objective To investigate the optimal treatment for different stages and severity of cystitis glandularis. Methods The clinical data of 89 cases (37 males and 52 females) of cystitis glandularis were reviewed.Their age ranged from 24 to 76 years.In these patients the lesions were located at bladder neck, triangular area and ureteric orifice in 79 cases,at lateral wall and fundus of bladder in 4 cases,at posterior urethra in 2 cases.The rest 4 cases had lamellar or multifocal lesions. Results Of the 89 cases,53 were treated by transurethral resection (surgical group) and 36 were treated conservatively (medical group).All the patients were followed up for 6 to 24 months.The remission rate of frequent micturition,urgent micturition in surgical and medical groups was 56.3% and 60.0%,respectively.The remission rate of hematuria was 78.6% and 64.7%,respectively.The remission rate of difficulty of urination was 100.0% and 50.0%,respectively.The remission rate of abdominal distention was 61.9% and 76.0%,respectively.No canceration occurred in both groups. Conclusions Medical therapy is the first choice of treatment for the superficial lesion detected incidentally by biopsy.It has the same satisfactory effect as surgery.For severe and extensive lesions or papilloma,the transurethral resection should be preferably performed.