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目的 :探讨腺性后尿道炎的临床特征、诊断和治疗方法。方法 :回顾性分析我院收治的 2 3例腺性后尿道炎患者的临床资料。主要症状为顽固性尿路刺激症状、排尿不畅或血尿。病灶为多发性 ,位于后尿道 3～ 9点位。 18例 (78.3% )有长期下尿路感染史 ,8例 (34 .8% )伴有腺性膀胱炎。均经电气化术治疗。结果 :2 3例均由膀胱镜活检确诊。 15例 (6 5 .2 % )在电气化术后 ,症状完全消失 ,其余 8例术后症状明显减轻 ,经 1疗程局部化疗后 ,症状亦完全消失。随访 14～ 33个月 (平均 2 6个月 ) ,2 3例中无一例症状复发。结论 :腺性后尿道炎的发生可能与慢性膀胱炎和慢性前列腺炎有关 ,并可同时伴发腺性膀胱炎。膀胱镜活检是确定诊断的唯一方法。经尿道电气化术是治疗本病简便而有效的方法。对术后症状未完全消失者 ,局部辅佐化疗具有显著效果。
Objective: To investigate the clinical features, diagnosis and treatment of glandular urethritis. Methods: The clinical data of 23 patients with glandular urethritis admitted to our hospital were retrospectively analyzed. The main symptoms are refractory urinary tract irritation, poor urination or hematuria. Lesions are multiple, located in the posterior urethra 3 to 9 o’clock. 18 cases (78.3%) had a history of lower urinary tract infection, and 8 (34.8%) had cystitis glandularis. Are electrified surgery. Results: 23 cases were confirmed by cystoscopy biopsy. In 15 cases (65.2%) after electrosurgery, the symptoms disappeared completely, and the remaining 8 patients were relieved of symptoms. After one course of chemotherapy, the symptoms disappeared completely. All cases were followed up for 14 to 33 months (mean, 26 months). No recurrence was found in 23 cases. Conclusion: The incidence of glandular urethritis may be related to chronic cystitis and chronic prostatitis, and may be accompanied by cystitis glandularis. Cystoscopy is the only way to confirm the diagnosis. Transurethral electrification is a simple and effective method for the treatment of this disease. After the symptoms have not completely disappeared, local adjuvant chemotherapy has a significant effect.