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目的:分析女性腺性膀胱炎患者各种不同的临床表现,提高诊断水平。方法:回顾性分析2003~2004年145例存在尿道综合征、镜下血尿、反复尿路感染的女性患者及8例并发泌尿科其他疾患或妇科病的患者实施膀胱镜检查及活检。结果:占检查人数49%共72例女性患者经病理证实为腺性膀胱炎,其中10例同时伴有腺性后尿道炎。22例患者伴有尿道外口畸形或其他病变。其他原发病8例:膀胱子宫黏膜异位症1例,膀胱颈梗阻3例,膀胱嗜铬细胞瘤1例,肾炎性肉芽肿1例,妇科手术前输尿管插管定位2例。58例在本院手术(经尿道电切56例,开放手术2例)。结论:腺性膀胱炎是女性常见病,可有多种临床表现,医师应该引起足够的重视。
Objective: To analyze various clinical manifestations of female cystitis glandularis and to improve the diagnostic level. Methods: A retrospective analysis of 145 patients with urethral syndrome, microscopic hematuria and recurrent urinary tract infections from 2003 to 2004 and 8 patients with other urological diseases or gynecological diseases were performed cystoscopy and biopsy. Results: A total of 72 female patients accounting for 49% of the total number of examinations were pathologically confirmed as cystitis glandularis, of which 10 were accompanied by adeno-posterior urethritis. Twenty-two patients had urethral malformations or other lesions. 8 cases of other primary disease: 1 case of bladder uterine mucosa, 3 cases of bladder neck obstruction, 1 case of bladder pheochromocytoma, 1 case of nephritis granuloma, 2 cases of preoperative gynecological ureter intubation. Fifty-eight patients underwent surgery in our hospital (transurethral resection of 56 cases, open surgery in 2 cases). Conclusions: Glandular cystitis is a common disease in women and may have many clinical manifestations. Physicians should pay enough attention.