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目的探讨腺性膀胱炎的诊断与治疗效果,提高腺性膀胱炎的诊治水平。方法对39例腺性膀胱炎采用经尿道电切汽化术加膀胱灌注治疗。结果37例随访8~85个月,平均52个月。26例治愈,9例好转(在8~17个月复发),2例术后18~43个月恶变膀胱癌。结论在解除膀胱出口梗阻的前提下经尿道电切、气化加膀胱灌注是腺性膀胱炎的有效治疗方法。腺性膀胱炎有潜在恶变倾向,需长期随访复查。
Objective To investigate the diagnosis and treatment of cystitis glandularis and improve the diagnosis and treatment of cystitis glandularis. Methods Thirty-nine cases of glandular cystitis were treated with transurethral electrovaporization and intravesical instillation. Results 37 cases were followed up for 8 to 85 months with an average of 52 months. 26 cases were cured, 9 cases improved (recurrence in 8 to 17 months), and 2 cases of malignant bladder cancer 18 to 43 months after operation. Conclusions Transurethral electrovaporization, gasification and vesical perfusion are the effective treatment of glandular cystitis under the premise of relieving bladder outlet obstruction. Glandular cystitis has the potential to malignant tendency, need long-term follow-up review.