摘要
目的:观察经尿道电切结合术后膀胱内药物灌注治疗女性腺性膀胱炎合并膀胱颈梗阻的疗效。方法:我院2004年10月-2009年11月收治了26例女性腺性膀胱炎合并膀胱颈梗阻患者,采用经尿道电切结合术后膀胱内药物灌注(丝裂霉素或吡柔比星)治疗,观察患者术后一次治愈率。结果:26例患者均顺利完成手术。术后平均随访19个月,其中22治愈,一次治愈率为84.6%;4例复发者再次行电切治疗,随访至今,疗效满意。随访期间内未发现恶变者。结论:膀胱颈梗阻是导致女性腺性膀胱炎的重要病因,膀胱镜尿道镜结合尿流动力学检查为诊断该病的可靠手段,经尿道电切术加膀胱腔内灌注治疗是一种安全有效的治疗方法。
Objective: to observe the urethra with electricity was cut drug treatment of women in the bladder full glands sexual cystitis merge its obstruction of the bladder, method., the patient in october 2004 -- 2009 november 26 cases accepted women glands sexual cystitis merge its obstruction of the bladder, using the urethra with electricity was cut within the supercharge ( the bladder and the crack of the mould or pirarubicin) after the surgery a recovery rate. result: 26 patient was fulfilled in the operation, after months of follow--up to the average of 22 for A recovery rate 84.6 : 4% for example, a relapse will cut the electricity treatment and follow--up to the extent that effect, follow--up period has not found canceration, conclusion: the neck of the bladder is the female sex obstruction glands cystitis of the bladder of a disease, the urethra eyepiece urine flow examination of mechanics for diagnosis and reliable means of the disease, the urethra electricity must make a full treatment of the bladder is a safe, effective treatment method.
关键词
尿道电切
膀胱灌注
腺性膀胱炎
膀胱颈梗阻
治疗
Urethra electricity cut
bladder implanted
glands sexual cystitis
bladder neck obstruction
treatment