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目的:探讨腺性膀胱炎的临床病理诊断与治疗及预后,为临床提供腺性膀胱炎的诊断依据及治疗资料。方法:对2008年3月～2009年1月间在我院住院治疗的60例腺性膀胱炎的临床表现、病理诊断、治疗及预后情况进行统计分析。对60例确诊为腺性膀胱炎的患者,均采用经尿道等离子电切术治疗,治疗组术后吡柔吡星膀胱内灌注治疗,对照组不包含此项治疗。结果:经随机回访,治疗组30例预后良好,无复发。对照组18例预后良好,12例复发。结论:临床表现、膀胱镜检查可作为腺性膀胱炎的最初诊断依据,病理诊断可作为腺性膀胱炎的最终证实。经尿道等离子电切术加术后膀胱腔内灌注化疗是目前治疗腺性膀胱炎的有效方法。
Objective: To investigate the clinicopathological diagnosis, treatment and prognosis of cystitis glandularis and to provide the basis for clinical diagnosis and treatment of cystitis glandularis. Methods: The clinical manifestations, pathological diagnosis, treatment and prognosis of 60 cases of glandular cystitis treated in our hospital from March 2008 to January 2009 were statistically analyzed. Sixty patients diagnosed as cystitis glandularis were treated with transurethral resection of the plasma and the patients in the treatment group were treated with intravesical instillation of piofenac sodium postoperatively. The control group did not include this treatment. Results: After a randomized visit, the treatment group 30 patients with good prognosis, no recurrence. The control group of 18 patients with good prognosis, 12 patients relapsed. Conclusion: The clinical manifestations and cystoscopy can be used as the initial basis for diagnosis of cystitis glandularis, and pathological diagnosis can be the final confirmation of cystitis glandularis. Transurethral resection of the plasma plus intra-bladder infusion chemotherapy is an effective method of treatment of cystitis glandularis.