摘要
目的探讨腺性膀胱炎各种治疗方法的疗效及预后。方法对104例腺性膀胱炎按治疗方法的不同分为5组，Ⅰ组：经尿道电切＋抗感染组；Ⅱ组：经尿道电切＋膀胱内灌注化疗药物组；Ⅲ组：单纯抗感染组；Ⅳ组：单纯膀胱内灌注化疗药物组；Ⅴ组：开放手术组。随访各组患者的疗效及预后情况。结果获得随访98例，随访3～10年。Ⅰ～Ⅴ组的治愈率分别为74．2％（23／31），50．0％（24／48），21．4％（3／14），0％（0／3），100％（2／2），总治愈率为53．1％（52／98）。诱因明确的14例患者在清除病因后全部治愈，诱因不明确者总治愈率为45．2％（38／84）。所有随访病例未发现有恶变者。结论腺性膀胱炎的治疗方法以经尿道电切＋抗感染为主，治疗应积极寻找并清除诱因；此病为良性病变，恶变率很低。
Objective To study the clinical effects of treatment and prognosis of cystitis glandularis. Methods A retrospective analysis of clinical data of 104 cases was performed. The cases were divided into 5 groups by its treating method. Group Ⅰ：Treated by transurethral resection combined with anti- infection; Group Ⅱ ：Treated by transurethral resection combined with bladder instillation of drug; Group ⅡI ：Treated by anti - infection only;Group Ⅳ ：Treated by bladder instillation of drug only; Group Ⅴ ： Treated by open operation only. The cases were followed - up to study its effect and prognosis. Results Ninety eight cases were followed up for 3 to 10 years. The curative rate in groups Ⅰ～Ⅴ was 74.2% （23/31） ,50.0% （24/48）,21.4% （3/14） ,0% （0/3）, 100% （2/2） respectively. The total curative rate was 53.1% （52/98）. The causes of cystitis glandularis in 14 cases were found and taken off,and all of them were cured. While in the other 84 cases the causes were not found and the curative rate was 45.2 % （38/84）. None had transformed into malignant tumor. Conclusion The main treating method for cystitis glandularis is transurethral resection combined with anti - infection. We should try to find and take off the causes of cystitis glandularis when treating it. Cystitis glandularis is a kind of benign illness and has very low probability to transform into malignance.
出处
《临床外科杂志》
2007年第2期120-121,共2页
Journal of Clinical Surgery
关键词
腺性膀胱炎
治疗结果
预后
cystitis glandularis
treatment outcome
prognosis
