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目的分析总结儿童嗜酸细胞膀胱炎临床特点、病理表现、诊断及治疗原则等。方法回顾性分析首都医科大学附属北京儿童医院2007年9月至2012年12月确诊的5例嗜酸细胞性膀胱炎患儿资料。结果 5例患儿临床表现为尿频、尿急、尿痛、血尿、血嗜酸细胞计数部分升高;影像学检查提示膀胱壁增厚;病理诊为嗜酸细胞性膀胱炎。结论儿童嗜酸细胞性膀胱炎比较少见,其临床与影像学无特异性,易与膀胱恶性病变相混淆,确诊靠病理,本病治疗以抗炎、抗过敏为主。需长期随访。
Objective To analyze and summarize the clinical features, pathological manifestations, diagnosis and treatment of children with eosinophilic cystitis. Methods The data of 5 children with eosinophilic cystitis diagnosed in Beijing Children’s Hospital Affiliated to Capital Medical University from September 2007 to December 2012 were retrospectively analyzed. Results The clinical manifestations of 5 cases were urinary frequency, urinary urgency, dysuria, hematuria and blood eosinophil count. The imaging examination showed thickening of the bladder wall and the pathology was eosinophilic cystitis. Conclusion Children with eosinophilic cystitis are relatively rare, the clinical and imaging non-specific, easily confused with malignant bladder, diagnosed by pathology, the treatment of anti-inflammatory and anti-allergic. Need long-term follow-up.