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腺性膀胱炎的诊断和治疗(附69例报告) 被引量:15

腺性膀胱炎的诊断和治疗(附69例报告)
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摘要 目的 :探讨腺性膀胱炎的诊断和治疗方法 ,提高诊治效果。方法 :通过对 69例腺性膀胱炎的诊治经验 ,尝试对单纯用药、单纯膀胱灌注化疗药及经尿道膀胱电切 +膀胱灌注化疗药三种临床常用方法作比较 ,从而加深对该病的认识。结果 :单纯药物治疗 (抗生素 +解痉药 ) 5例 ,仅 1例治愈。使用单纯膀胱灌注化疗药联合治疗 10例 ,5 / 10例治愈 ,1/ 10例临床症状减轻 ,4/ 10例无效 ,总有效率 60 %。使用经尿道膀胱电切+膀胱灌注化疗药治疗 5 4例 ,45 / 5 4例一次性治愈 ,3 / 5 4例治愈后复发 ,再次治疗后没有复发。 4/ 5 4例临床症状减轻。 2 / 5 4例无效 ,总有效率 96。 3 %。结论 :使用经尿道膀胱电切 +膀胱灌注化疗药联合治疗腺性膀胱炎疗效明显优于单纯用药或单纯膀胱灌注化疗药 ,而且复发率低 ,患者生活质量明显改善。 Objective To determine the treatment and method of cystitis glandularis and improve the treatment effect.Methods Through 69 cases treatment experiments,to analysis and compare three different kinds of clinical treatment methods (Method Ⅰ received adueous medicine; method Ⅱ received adueous chemotherapeutant of the intravesial installation; method Ⅲ received Transurethral resection and instilled chemotherapy medicine in bladder). Results Five cases received method Ⅰ(Antibiotic and antispasmodice),only one case was recovered.Ten cases received method Ⅱ ,5/10 cases was recovered;The clinic symptom of 1/10 cases was alleviated; 4/10 cases were of no effect;the total effect rate was 60%.54 cases received method Ⅲ,45/54 cases were recovered for one time; 3/54 cases recurrence after recovered,and did not recurrence after treatment the clinical symptom of 4/54 cases was remittedd,2/54 caseswere of no effect,the total effect rate is 96.3%.Conclusion The method Ⅲ is obviously better than method Ⅰ and method Ⅱ,and it has lower recurrence rate and patients'life of quality of was significantly improved.Key Word:Cystitis glandularis
出处 《国外医学(泌尿系统分册)》 2003年第6期768-770,共3页 Foreign Medical Sciences(Urology and Nephrology Foreign Medical Sciences)
关键词 膀胱炎
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