摘要
目的 探讨腺性膀胱炎的治疗方法。方法 对 41例腺性膀胱炎患者进行抗感染、碎石、经尿道电灼、电切加气化、膀胱灌注及膀胱切除等治疗。结果 41例随访 6～ 72个月 ,平均 2 2个月 ;治愈 2 9例 ,12例好转、其中 3例在 6～ 2 8个月内复发、1例于病理报告为膀胱移行细胞癌。结论 在治疗原发性疾病的前提下 ,经尿道电灼、电切、气化及膀胱切除是治疗腺性膀胱炎的有效方法 ,膀胱灌注并非必需。腺性膀胱炎有恶变趋向 ,应密切随访。
Objective To evaluate the therapeutic effects of cystitis glandularis. Methods A total of 41 patients with cystitis glandularis were treated with antibiotics and by lithotrity, transurethral resection, electric coagulation or electrovaporization, bladder instillation with drugs, and cystectomy. Results After a follow up for 6-72 months (mean 22 months), cure and improvement were found in 29 cases and 12 cases, respectively; recurrence was found in 3 cases during 6-28 months; transitional cell carcinoma of bladder was found in one of the recurred cases. Conclusion Based on the treatment of the primary disease, transurethral resection, electric coagulation, electrovaporization, and cystectomy are the effective ways for the treatment of cystitis glandularis, but bladder instillation with drugs is not indispensible. Cystitis glandularis may develop into carcinoma, so close follow up is necessary.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2004年第4期344-345,共2页
Journal of Third Military Medical University
关键词
腺性膀胱炎
诊断
治疗
cystitis glandularis
diagnosis
treatment
