摘要
目的:探讨儿童嗜酸性膀胱炎的鉴别诊断和治疗方法方法:回顾性分析2例儿童嗜酸性膀胱炎患者临床资料:2例患儿均以膀胱下尿路刺激症状就诊,超声及CT检查可见膀胱壁增厚。膀胱镜检查并活检确诊为嗜酸性膀胱炎。1例经电切后静脉点滴甲泼尼龙及口服酮替芬,1例静脉点滴青霉素、甲泼尼龙及口服西替利嗪。结果:2例患者均治愈。随访12个月未见复发。结论:嗜酸性膀胱炎的确诊需依靠膀胱镜检查并组织活检。治疗上需消除病因,联合应用抗组胺药、皮质类固醇激素和抗生素的治疗方法。
Objective：To investigate children differential diagnosis and treatments of eosinophilic cystitis. Meth- ods：Clinical data about two children of eosinophilic cystitis were retrospectively analysed. Two patients were both diagnosed for bladder irritation with lower urinary tract symptoms, and it was shown the thickened bladder wall by ultrasound and CT examination in two cases. Eosinophilie cystitis was diagnosed by cystoscopy and biopsy. One patient was cured by transurethral resection, endovenous methylprednisolone and oral Ketotifen. Another patient was cured by endovenous penicillin and oral methylprednisolone and cetirizine. Results：Both of two patients were cured, and follow-up was persisted 12 months and there was no recurrence. Conclusions：Diagnosis of eosinophilic cystitis requires cystoscopy and biopsy. Treatment was dependent on eliminating the pathogenesis and combination therapy of antihistamines, corticosteroids and antibiotics.
出处
《临床泌尿外科杂志》
2013年第6期434-436,共3页
Journal of Clinical Urology
关键词
嗜酸性膀胱炎
诊断
治疗
eosinophilic cystitis
diagnosis
treatment
