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目的 探讨腺性膀胱炎的诊断和治疗效果。方法 对78例腺性膀胱炎患者行经尿道气化电切加膀胱内药物灌注等治疗。结果 78例随访3～2 4个月。其中5 4例膀胱镜检查正常,症状消失,治愈率69.2 3 % ;2 3例症状好转者6～15个月内复发,占2 9.49% ;1例在术后2年恶变为膀胱腺癌,占1.2 8%。结论 膀胱镜检查结合活检对腺性膀胱炎的早期诊断具有重要意义;经尿道气化电切加膀胱内药物灌注是腺性膀胱炎的有效治疗方法。腺性膀胱炎有恶变倾向,应密切随访。
Objective To investigate the diagnosis and treatment of cystitis glandularis. Methods A total of 78 patients with cystitis glandularis were treated by transurethral electrovaporization plus intravesical drug infusion. Results 78 cases were followed up for 3 ~ 24 months. Among them, 54 cases were normal cystoscopy, the symptoms disappeared, the cure rate was 69.2 3%; 23 cases improved symptoms within 6-15 months recurrence, accounting for 2 9.49%; 1 case 2 years after malignant transformation into cystadenocarcinoma, Accounting for 1.2 8%. Conclusions Cystoscopy combined with biopsy is of great significance in the early diagnosis of glandular cystitis. Transurethral electrovaporization plus intravesical drug infusion is an effective treatment for cystitis glandularis. Glandular cystitis malignant tendency, should be followed up closely.