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目的探讨尿道等离子体双极电切术后不同药物灌注治疗腺性膀胱炎患者的临床效果。方法 176例腺性膀胱炎患者作为研究对象被随机分为实验组和对照组,两组均给予尿道等离子体双极电切术治疗,术后对照组采用吡柔比星灌注治疗,实验组采用丝裂霉素灌注治疗。结果实验组痊愈率和总有效率均高于对照组,1年复发率低于对照组,但差异均无统计学意义(均P﹥0.05)。实验组Qmax显著高于对照组(t=4.356,P﹤0.05),PVR显著低于对照组(t=4.723,P﹤0.05)。结论尿道等离子体双极电切术安全高效,配合使用吡柔比星药物灌注,可以提高临床效果,值得临床考虑。
Objective To investigate the clinical effect of different drug infusion in patients with glandular cystitis after bipolar resection of urethral plasma. Methods A total of 176 patients with glandular cystitis were randomly divided into experimental group and control group. Both groups were treated by bipolar urethral plasmapheresis and the control group was treated with pirarubicin. The experimental group was treated with Mitomycin infusion therapy. Results The cure rate and total effective rate in the experimental group were higher than those in the control group. The recurrence rate at 1 year was lower than that of the control group, but the difference was not statistically significant (all P> 0.05). The Qmax in the experimental group was significantly higher than that in the control group (t = 4.356, P <0.05). The PVR in the experimental group was significantly lower than that in the control group (t = 4.723, P <0.05). Conclusions The urethral plasma bipolar resection is safe and effective. With the use of pirarubicin drug infusion, the clinical effect can be improved, which deserves clinical consideration.