腺性膀胱炎的临床诊断与外科治疗探讨

目的探讨腺性膀胱炎的临床诊断与外科治疗,提高腺性膀胱炎的诊治水平。方法回顾性分析射阳县中医院于2004年1月至2007年12月诊治腺性膀胱炎患者的临床资料。结果本组22例患者均在硬脊膜外阻滞麻醉下行经尿道膀胱汽化电切术,术后留置导尿管5d,常规抗感染1周,1周后开始用化疗药作膀胱灌注。术中无膀胱穿孔,术后无尿失禁、膀胱颈狭窄等并发症,22例随访18个月～4年,平均(2.8±0.8)年,17例治愈,好转4例,复发1例。结论膀胱镜活检病理学检查是诊断腺性膀胱炎的可靠方法;经尿道电切术联合丝裂霉素膀胱灌注治疗腺性膀胱炎疗效满意,不良反应少,可作为治疗腺性膀胱炎的首选方法。

The Clinical Diagnosis and Surgical Treatment of Cystitis Glandularis Patients

Objective To discuss the clinical diagnosis and surgical treatment of cystitis glandularis, improve the diagnosis and treatment. Methods Retrospective analysis of Sbeyang traditional Chinese medicine hospital from January 2004 to December 2007 the diagnosis and treatment of patients with cystitis glandularis of the clinical data. Results The patients were 22 cases of epidural anesthesia in transurethral resection of bladder vaporization downlink TURP, indwelling catheter after 5 days, conventional anti-infective 1 week, 1 week after the chemotherapy drugs used for bladder cancer. No intraoperative bladder perforation, urinary incontinence after operation, complications such as bladder neck stenosis, 22 cases were followed up for 18 months -4 years the average （2.8±0.8） years, 17 patients were cured and 4 cases improved, 1 case of recurrence. Conclusion Histopathological examination of bladder biopsy is the diagnosis of cystitis glandularis and reliable method; TURP transurethral resection of bladder cancer with mitomycin C treatment of cystitis glandularis satisfactory, less adverse reactions, can be used as the treatment of cystitis glandularis of choice method.