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23例腺性膀胱炎治疗体会
引用本文:易憬,熊飞,苏良平,李庭庭,陈登,杨兵,张盛龙,张宝珍,刘长. 23例腺性膀胱炎治疗体会[J]. 西部医学, 2012, 24(2): 289-290,293
作者姓名:易憬  熊飞  苏良平  李庭庭  陈登  杨兵  张盛龙  张宝珍  刘长
作者单位:1. 武汉钢铁公司大冶铁矿职工医院,湖北黄石,435006
2. 三峡大学第一临床医学院·宜昌市中心人民医院,湖北宜昌443003
3. 华中科技大学同济医学院计划生育研究所,湖北武汉,430030
摘    要:目的探索腺性膀胱炎适度、有效的治疗方法。方法对23例腺性膀胱炎患者给予抗感染联合M受体拮抗剂治疗,伴有前列腺增生症、尿道肉阜、膀胱颈抬高的患者均给予手术治疗,治疗前后经尿常规、尿动力学、膀胱镜及活组织病理学等检查评价患者的疗效。每3个月1次膀胱镜检随访。结果经治疗后患者临床表现、尿常规、尿动力学检查、膀胱镜检及病检较治疗前明显改善。23例随访6~12个月,未发现复发、恶变病例。结论腺性膀胱炎给予抗感染联合M受体拮抗剂治疗有较好的效果,值得在临床推广应用。

关 键 词:腺性膀胱炎  治疗  体会

Comprehension of treatment for cystitis glandularis
Affiliation:YI Jing1,XIONG Fei2,SU Liang-ping1,et al(1.Staff-worker Hospital of Daye Ironstone,Wuhan Iron and Steel Company,Wuhan 430030; 2.The First Clinical Medical College,Wuhan 430030)
Abstract:Objective To explore the clinical fitness and efficacy of treatment for cystitis glandularis.Methods 23 cases with cystitis glandularis were treated by antibiotics and M-receptor antagonist,however,the patients with benign prostate hyperplasia,urethral caruncle,bladder neck obstruction were treated by operation.The efficacy(symptom,urine examination,urodynamic parameters,cystoscopy and biopsy) were evaluated before,3 months,6 months,9 months,12 months after treatment.Results The pre-treatment comparison with post-treatment was significant(P<0.05),including symptom,urine examination,urodynamic test,cystoscopy and biopsy.After 6-12 months,none recurred.Conclusion Antibiotics and M-receptor antagonist can effectively relieve clinical symptom and improve urodynamic parameters of cystitis glandularis.
Keywords:Cystitis glandularis  Treatment  Comprehension
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