摘要
目的:探讨腺性膀胱炎的诊断及治疗。方法:回顾性分析64例腺性膀胱炎患者的临床资料,其中男46例,女18例。治疗方法包括经尿道电切(TUR)和抗感染保守治疗。结果:TUR组52例,保守治疗组12例。随访8～32个月。治疗后症状均明显改善,前组病变复发或进展13例,后组2例。有1例发生癌变。结论:对症状严重、病变广泛者首选经尿道电切术治疗,部分患者可考虑加行膀胱灌注化疗药。对病变轻微患者保守治疗亦可取得较满意的疗效。腺性膀胱炎具有复发及恶变倾向,须密切随访。
Objective： To investigate the diagnosis and treatment of cystitis glandularis（CG）. Methods： The clinical data of 64 cases （46 males and 18 females） of cystitis glandularis were reviewed. Various treatment options were available that range from conservative medication to aggressive TUR. Results： Of the 64 cases, 52 were treated by transurethral resection （surgical group）and 12 were treated conservatively （medical group）.All the patients were followed up for 8 to 32 months.The symptoms were relieved significantly in most cases after treatment. The lesion were recurrent or progressive in 13 cases in surgical group and 2 cases in medical group,respectively.One case developed a malignant lesion. Conclusion： TUR should be preferably performed for those cases whose lesions were severe and extensive. Conservative therapy is equally effective for those with the superficial and limited lesions. Due to its tendency to recur and transform malignantly,long-term follow-up is essential for CG patients.
出处
《天津医科大学学报》
2008年第2期200-202,共3页
Journal of Tianjin Medical University
关键词
腺性膀胱炎
膀胱镜活检
经尿道电切
Cystitis glandularis
Cystoscope biopsy
Transurethral resection
