伴有上尿路梗阻的腺性膀胱炎的临床特征

目的探讨伴有上尿路梗阻的腺性膀胱炎的临床特征。方法70例伴有上尿路梗阻的腺性膀胱炎与60例无上尿路梗阻的腺性膀胱炎进行比较，观察2组在临床表现和手术疗效方面的差异。结果伴有上尿路梗阻的腺性膀胱炎女性发病率高于男性，发病年龄低于无上尿路梗阻组。临床表现主要为肾区或腹部疼痛，少数患者同时伴有恶心、呕吐、尿频、尿急、尿痛、血尿和发热等，病程一般较短。膀胱镜检查病灶分布特征和尿液细菌培养结果2组之间无差异。伴有上尿路梗阻组没有二次手术病例，无上尿路梗阻组有9．3％患者需进行二次以上的手术。结论伴有上尿路梗阻的腺性膀胱炎通常以上尿路梗阻症状为主要临床表现。治疗时首先应明确和解除输尿管梗阻的原因。对于腺性膀胱炎，应进行积极治疗或密切随访。

Clinical characteristics of cystitis glandularis accompanied with upper urinary tract obstruction

Objective To explore the clinical characteristics of cystitis glandularis accompanied with upper urinary tract obstruction. Methods 70 cases of cystitis glandularis accompanied with upper urinary tract obstruction were compared with 60 cases of cystitis glandularis without upper urinary tract obstruction. The differences of clinical manifestation and surgical effica- cy were observed. Results Incidence of cystitis glandularis in women was higher than that in men. Patients with cystitis glan- dularis accompanied with upper urinary tract obstruction tended to be younger than patients without upper urinary tract obstruc- tion. The major symptoms of cystitis glandularis accompanied with upper urinary tract obstruction were renal colic and abdomi- nal pain, and few patients had nausea, vomiting, frequent and urgent urination, hematuria and fever, etc, usually with a rela- tively shorter course of disease. Distribution and morphological characteristics of lesions on bladder and urine culture were not different between the two groups. No second operation was performed on patients accompanied with upper urinary tract ob- struction, but second or more operations were performed on 9.3% patients without upper urinary tract obstruction. Oonclu- sions Glandular cystitis accompanied with upper urinary tract obstruction has similar symptoms as upper urinary tract obstruc- tion, Identifying and removing the causes of urinary tract obstruction is the most important means of management, Active treatment and close follow-up should be performed for patients with glandular cystitis.