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目的:探讨仅行黏膜电切而不进行膀胱内灌注化疗药物治疗腺性膀胱炎的可行性及效果。方法:将48例腺性膀胱炎患者分成两组,一组25例为对照组,行黏膜电切(或电灼)加膀胱内灌注化疗药物;一组23例为研究组,仅行膀胱黏膜电切治疗。观察两组术后3个月膀胱镜检查病变有无残留或新发以及症状改善情况,以比较两组的治疗效果。结果:25例对照组中,21例膀胱镜检查正常,病变清除率84%;17例治愈,3例缓解;1例未愈;4例膀胱镜检查病变残留或新发(囊泡或绒毯状),再次电切并膀胱内灌注化疗药物,1例治愈,2例缓解,1例未愈。本组治愈率为72%,有效率为92%。23例研究组中,19例膀胱镜检查正常,病变清除率为83%;16例治愈,2例缓解,1例未愈;4例膀胱镜检查发现残留或新发(绒毯状或微囊泡状),再次行黏膜电切,1例治愈,1例缓解,2例未愈。本组治愈率为74%,有效率为87%。两组比较差异无统计学意义(P<0.05)。结论:单纯黏膜电切治疗腺性膀胱炎是可行的,可节省治疗费用,节约社会成本。
Objective: To investigate the feasibility and effect of mucosal resection without intravesical chemotherapy for glandular cystitis. Methods: Forty-eight patients with glandular cystitis were divided into two groups. One group of 25 patients served as the control group. The patients underwent mucosal resection (or electrocautery) plus chemotherapy with intravesical chemotherapy. A group of 23 patients were treated with bladder cancer Electric cutting treatment. Three months after operation, the cystoscopy was used to observe whether there were any residual or new lesions and the improvement of symptoms, so as to compare the curative effect of the two groups. Results: Among the 25 cases of control group, cystoscopy was normal in 21 cases, 84% of lesions were removed, 17 cases were cured, 3 cases were relieved, 1 case was cured, 4 cases were cystoscopy residual or new lesions Like), again cut and intravesical chemotherapy drugs, 1 case of cure, 2 cases of remission, 1 case did not heal. The cure rate was 72%, the effective rate was 92%. Among the 23 study groups, cystoscopy was normal in 19 cases and lesions were 83%. 16 cases were cured, 2 cases were relieved and 1 case was unhealed. Four cases of cystoscopy showed residual or new hair Bubble), again mucosal resection, 1 case of cure, 1 case of remission, 2 cases did not heal. The cure rate was 74%, the effective rate was 87%. There was no significant difference between the two groups (P <0.05). Conclusion: The simple mucosal electrotomy for the treatment of cystitis glandula is feasible, which can save the treatment cost and save the social cost.