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目的探讨腺性膀胱炎的诊断与治疗方法。方法结合文献复习 ,回顾分析 38例腺性膀胱炎的诊断与治疗的资料。结果单纯药物治疗 8例 ,单纯电切术 12例 ,术后复发 2例 ,经再次电切治愈。电切术后加用膀胱灌注化疗 16例 ,全部治愈。膀胱部分切除 2例。结论对腺性膀胱炎病变不太广泛 ,无结石 ,无前列腺增生的病例均可行电切术。对乳头状瘤样型腺性膀胱炎 ,电切不能彻底者应行膀胱部分切除术。全膀胱切除术需行尿流改道 ,患者生活质量下降 ,应慎重进行。
Objective To investigate the diagnosis and treatment of cystitis glandularis. Methods Combined with literature review, 38 cases of cystitis glandularis were diagnosed and treated retrospectively. Results Simple drug treatment in 8 cases, simple resection in 12 cases, 2 cases of recurrence, cured again by electrosurgery. Transurethral resection plus bladder chemotherapy in 16 cases, all cured. Bladder partial resection in 2 cases. Conclusion Glandular cystitis lesions are not too wide, no stones, no cases of benign prostatic hyperplasia are feasible electrotome. For papilloma-like glandular cystitis, partial tamponade resection should not be performed. Total cystectomy need urinary diversion, decreased quality of life of patients, should be cautious.