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目的探讨女性腺性膀胱炎合并膀胱出口梗阻的诊治。方法对22例女性腺性膀胱炎合并膀胱出口梗阻患者的临床资料进行回顾性分析。女性腺性膀胱炎合并膀胱颈梗阻14例、合并尿道肉阜5例、合并尿道狭窄2例、合并尿道外口阴道口融合1例。16例经尿道电切膀胱病变的同时,治疗膀胱出口梗阻,术后定期进行药物膀胱灌注;4例经尿道电切膀胱病变,术后定期药物膀胱灌注;2例单纯药物膀胱灌注。结果综合治疗16例患者中治愈8例,好转6例,复发2例;电切加膀胱灌注4例患者中好转2例,复发2例;单纯膀胱灌注2例患者治疗无效。结论经尿道电切加术后定期药物膀胱灌注是治疗腺性膀胱炎的首选方法,腺性膀胱炎合并膀胱出口梗阻者应同时治疗梗阻因素。
Objective To investigate the diagnosis and treatment of female glandular cystitis with bladder outlet obstruction. Methods The clinical data of 22 patients with cystitis glandularis and bladder outlet obstruction were analyzed retrospectively. Female glandular cystitis with bladder neck obstruction in 14 cases, merger urethral caruncle in 5 cases, combined urethral stricture in 2 cases, merged urethral vaginal orifice fusion in 1 case. 16 cases of transurethral resection of bladder lesions, bladder outlet obstruction at the same time, after the regular bladder drug infusion; 4 cases of transurethral resection of bladder disease, regular drug bladder irrigation; 2 cases of simple drug bladder irrigation. Results Among the 16 cases, 8 cases were cured, 6 cases improved and 2 cases relapsed. Among the 4 cases, 2 cases improved and 2 cases relapsed after transurethral resection and bladder irrigation; 2 cases were treated with bladder perfusion alone. Conclusions Transurethral resection of the bladder with regular drug bladder irrigation is the first choice for the treatment of cystitis glandularis cystitis, bladder outlet obstruction should be treated with both obstruction factors.