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目的探讨腺性膀胱炎的治疗方法。方法本组47例,均经膀胱镜检查,发现滤泡样变25例,乳头瘤样变16例,慢性炎症4例,无明显改变2例。经尿道电切术后加单次表阿霉素(EPI)膀胱内灌注治疗42例,保守治疗5例。定期膀胱镜检查,并行组织学观察。结果随访12~72个月,平均24个月。43例痊愈,膀胱粘膜逐渐恢复移行上皮覆盖。3例复发,1例转变为腺癌,行膀胱全切。结论病变轻微的腺性膀胱炎者通常采用药物治疗;病变广泛者或乳头瘤型者首选经尿道电切术后加膀胱内化疗药物灌注则有助于膀胱上皮的组织学转归。
Objective To investigate the treatment of cystitis glandularis. Methods The group of 47 patients were cystoscopy and found that follicular degeneration in 25 cases, 16 cases of papillomatosis, chronic inflammation in 4 cases, no significant change in 2 cases. Transurethral resection plus epirubicin (EPI) intravesical instillation of 42 cases of treatment, conservative treatment in 5 cases. Regular cystoscopy, parallel histological observation. The results were followed up for 12 to 72 months, an average of 24 months. Forty-three cases were cured, bladder mucosa gradually restored transitional epithelial coverage. 3 cases of recurrence, 1 case turned into adenocarcinoma, the line of the whole cut. Conclusions Glandular cystitis patients with mild lesion are often treated by drugs. The patients with extensive lesions or papillary tumors are the best choice for transurethral resection of bladder with intravesical chemotherapeutic drug infusion, which is helpful for the histological diagnosis of bladder epithelium.