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目的:探讨女性腺性膀胱炎患者的尿动力学表现及其临床特征、形态学表现等的特点。方法:女性腺性膀胱炎患者50例,病程3个月～6年。应用膀胱尿道镜作形态学检查;尿动力学测定压力流率等。结果:膀胱尿道镜下均表现为膀胱三角区或膀胱颈部黄色有核的滤泡样或绒毛膜样改变,尿动力学检查表现为膀胱出口梗阻34例(68%),最大尿流率下降42例(84%),6例表现为膀胱逼尿肌不稳定。结论:膀胱尿道镜检查见膀胱三角或膀胱颈黄色有核滤泡样的特异性黏膜改变即可确诊腺性膀胱炎而无需病理活检,尿动力学表现则呈多样化表现。
Objective: To investigate the urodynamic characteristics of female patients with cystitis glandularis and its clinical features, morphological features and so on. Methods: 50 cases of female cystitis glandularis, duration of 3 months to 6 years. Urinary tract endoscopy was used for morphological examination; urodynamic measurements of pressure flow rate were performed. Results: The cystourethral urethra showed yellow follicular or chorion-like changes in the trigone or bladder neck. Urodynamic examination showed bladder outlet obstruction in 34 cases (68%) and the maximal uroflow rate decreased 42 cases (84%), 6 cases of bladder detrusor instability. CONCLUSIONS: Bladder urethroscopy can be diagnosed with glandular cystitis without pathological biopsy with specific mucosal changes of the bladder trigone or bladder neck with yellow nuclear follicles. The urodynamic performance is diversified.