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目的探讨经尿道电切术后联合丝裂霉素热灌注治疗腺性膀胱炎的方法及疗效。方法对34例腺性膀胱炎患者经尿道电切后行丝裂霉素(MMC)膀胱热灌注化疗。结果 34例患者中,临床症状完全消失24例,好转7例,复发3例。18例出现不同程度的尿频、尿急、尿痛及膀胱区疼痛,肉眼血尿14例。全身反应少见。在6～24个月复发再次电切气化切除,随访期间内未发现恶变者。结论经尿道电切联合MMC膀胱热灌注化疗腺性膀胱炎是一种可行有效的方法。
Objective To investigate the method and efficacy of transurethral resection combined with mitomycin thermotolerance in the treatment of glandular cystitis. Methods 34 cases of cystitis glandula were transurethral resection of mitomycin C (MMC) bladder. Results Among the 34 patients, 24 cases had disappeared completely, 7 cases improved and 3 cases recurred. 18 cases of varying degrees of urinary frequency, urgency, dysuria and bladder pain, gross hematuria in 14 cases. Systemic reaction rare. In 6 to 24 months recurrence of electrosurgical resection gasification, follow-up period found no malignant. Conclusion Transurethral resection combined with MMC bladder heat infusion in the treatment of glandular cystitis is a feasible and effective method.