摘要
目的:探讨经尿道电切术联合丝裂霉素膀胱灌注治疗腺性膀胱炎的临床效果。方法:对27例腺性膀胱炎患者,经尿道电切切除病灶,部分乳头状瘤样型及病变范围较大病例于术后1个月行第二次电切+活检术,术后加丝裂霉素膀胱灌注,疗程1年,方案为每周1次,连续8次,之后每月1次,连续10次,定期行膀胱镜检查。结果:随访12-24个月,平均18.5个月,治愈22例,好转4例,复发1例。结论:经尿道电切联合术后丝裂霉素膀胱灌注治疗腺性膀胱炎,疗效满意、毒副作用低,是治疗腺性膀胱炎的有效方法。
Objective: To assess the clinical effect of intravesical instillation of mitomycin C after transurethral resection of cystitis glandularis.Method: A total of 27 cases of cystitis glandularis underwent transurethral resection.Part of cases with the papilloma-like or larger lesions underwent the second resection and biopsy one month after the first resection.All the cases were treated with intravesical instillation of mitomycin C immediately after the first resection.Regular intravesical instillation of mitomycin C has been given postoperatively to all cases for 1 year.The procedure of intravesical instillation was once a week for 8 consecutive times,then once a month for 10 consecutive regular times and all cases were received regular cystoscopy.Result: All cases were followed up 12-24 months,average 18.75 months.21 cases had been cured,4 cases had been improved,1 case underwent recurrence.Conclusion: The treatment of cystitis glandularis with intravesical instillation of mitomycin C after transurethral resection has satisfactory effect and low toxicity.It is an effective way for the treatment of cystitis glandularis.
出处
《河北医学》
CAS
2012年第3期365-367,共3页
Hebei Medicine
关键词
腺性膀胱炎
经尿道电切
膀胱灌注
Cystitis glandularis
Transurethral resection
Intravesical instillation