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目的探讨腺性膀胱炎的诊断和治疗方法。方法28例腺性膀胱炎患者行膀胱镜加活检病理确诊,采用经尿道电切/电灼术,术后丝裂霉素膀胱灌注治疗,并定期复查膀胱镜。结果随访8~36个月,平均23个月,28例中23例治愈,5例好转后复发,3例再次电切/电灼治愈,1例一侧肾积水加重,行膀胱部分切除加输尿管再植,1例发展为腺癌。结论膀胱镜加活检病理对腺性膀胱炎的诊断具有重要意义,经尿道电切/电灼加膀胱药物灌注是腺性膀胱炎的有效治疗方法。腺性膀胱炎有恶变倾向,应密切随访。
Objective To investigate the diagnosis and treatment of cystitis glandularis. Methods Twenty-eight patients with cystitis glandula were diagnosed by cystoscopy and biopsy. Transurethral electrocautery and electrocautery were performed. The patients were treated with mitomycin C intravesical instillation. Cystoscopy was performed regularly. The results were followed up for 8 to 36 months, an average of 23 months, 28 cases of 23 cases cured, 5 cases improved after recurrence, 3 cases of re-cut / electrocautery cured, 1 case of hydronephrosis aggravated partial bladder resection plus Ureter replantation, 1 case of adenocarcinoma. Conclusion cystoscopy and biopsy pathology is of great significance for the diagnosis of cystitis glandularis. Transurethral electrosurgery / electrocautery plus bladder drug infusion is an effective treatment for cystitis glandularis. Glandular cystitis malignant tendency, should be followed up closely.