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目的探讨腺性膀胱炎的临床特点、诊断和治疗。方法对2006年至2010年诊治的35例腺性膀胱炎患者的临床资料进行回顾性分析。结果 35例患者主要症状为尿路刺激症状和血尿,均行膀胱镜检查及膀胱黏膜活检,证实为腺性膀胱炎。35例均行经尿道电切,术后应用丝裂霉素膀胱灌注治疗,随访32例中有26例症状消失,6例症状部分改善,分别于术后5、12及18个月复查发现3例复发,再次治愈后无复发。结论膀胱镜检查及膀胱黏膜组织活检是确诊腺性膀胱炎首选的检查方法,经尿道腺性膀胱炎电切联合术后灌注治疗是治疗腺性膀胱炎有效的方法。
Objective To investigate the clinical features, diagnosis and treatment of cystitis glandularis. Methods The clinical data of 35 patients with cystitis glandularis from 2006 to 2010 were analyzed retrospectively. Results The main symptoms of 35 patients were urinary tract irritation and hematuria. All patients underwent cystoscopy and bladder biopsy, confirmed as cystitis glandularis. Thirty-five patients underwent transurethral resection of the urethra. After operation, mitomycin was given to the bladder for perfusion. Twenty-six of the 32 patients were followed up for disappearance of the symptoms and 6 of the symptoms were improved. Three cases were found after 5, 12 and 18 months Recurrence, no recurrence after cure. Conclusion Cystoscopy and biopsy of bladder mucosa are the first choice for the diagnosis of cystitis glandularis. Transurethral cystitis combined with postoperative perfusion is an effective method for the treatment of cystitis glandularis.