经尿道电切联合丝裂霉素膀胱内灌注治疗腺性膀胱炎

目的探讨腺性膀胱炎的临床特点及诊治体会。方法对我院2001年3月至2008年2月收治15例腺性膀胱炎患者的临床资料进行回顾性分析。男5例，女10例，年龄35～63岁，平均52岁，病程1—24个月。反复尿急尿频12例，间歇性肉眼血尿3例。均行经尿道腺性膀胱炎电切术，术后-24小时内即用丝裂霉素（MMC）行膀胱内灌注，以后每周一次，持续6次。每3个月复查膀胱镜，持续1年。结果所有手术均成功，手术时间平均20min，术中无严重出血和膀胱穿孑L等并发症发生。随访6-12月，症状消失11例，症状好转3例，总有效率93．3％（14／15）。结论经尿道电切联合术后丝裂霉素膀胱内灌注是治疗腺性膀胱炎的有效方法。

Transurethral resection and intravesical instillation for the treatment of cystits glandularis

Objective To investigate the diagnosis and treatment of cystitis glandularis. Methods Data of clinical 15 cases were analyzed retrospectively. The 15 cases had intravesical instillation with 40 mg Mitomycin C（MMC） in 24 hours after transurethral resection. Afterwards performing once a week, continuing for 6 weeks. Cystoscopy were carried out every 3 months, continuing 1 year. Results All the operations achieved successfully without massive hemorrhage, vesical perforation and other complications. The mean surgical time was 20 min. During the following period of 6-12 months, 11 patients didn＇t have any complaints, 3 patients felt better. The totally effective rate was 93.3%（14/15）. Conclusion Transurethral resection and intravesical instillation with MMC is the effective method of treating cystitis glandularis.