论文部分内容阅读
为探讨间质性膀胱肌炎(IC)的诊断与治疗,报告3例IC。此3例在麻醉下行膀胱镜检查可见大部分膀胱粘膜血管增多、点片状充血及许多网状血管球,功能性膀胱容量为50~150ml,病理检查见粘膜和肌间有多种炎性细胞浸润及肌纤维化;经口服阿米替林等,并用50%二甲基亚砜+地塞米松+肝素+碳酸氢钠行膀胱灌注治疗,症状完全缓解。复习文献认为IC以潴尿痛为其特征,凡符合NIDDKD提出的4条诊断标准即可诊断为IC,治疗仍以保守治疗为主。
To investigate the diagnosis and treatment of interstitial bladder myositis (IC), three IC cases were reported. Cystoscopy in these 3 cases under the cystoscopy showed most of the increased bladder mucosa blood vessels, punctate hyperemia and many reticular blood vessels, functional bladder capacity of 50 ~ 150ml, the pathological examination showed a variety of mucosal and intramuscular inflammatory cells Infiltration and myofibrosis; Amitriptyline and other oral administration, and with 50% dimethylsulfoxide + dexamethasone + heparin + sodium bicarbonate line of bladder irrigation, the symptoms were completely relieved. Review of the literature that the retention of dysuria as its characteristics, where meet the NIDDKD proposed four diagnostic criteria can be diagnosed as IC, the treatment is still based on conservative treatment.