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目的探讨腺性膀胱炎的诊治方法。方法对92例腺性膀胱炎临床诊治资料进行回顾分析,71例行尿道电切,对其中23例有下尿路梗阻的患者同时电切挛缩膀胱颈、增生前列腺等病变,21例拒绝手术和6例电切术后无效者行膀胱灌注。结果71例经尿道电切者中49例随访6~36个月,膀胱镜检查正常,症状消失,治愈率69%;27例行膀胱灌注者中18例症状消失或缓解,有效率67%。结论下尿路梗阻是引起腺性膀胱炎的常见病因,气化电切术是治疗腺性膀胱炎的主要方法。此法还可同时切除引起腺性膀胱炎的梗阻病变,膀胱灌注是治疗腺性膀胱炎的有效方法。
Objective To investigate the diagnosis and treatment of cystitis glandularis. Methods The clinical data of 92 cases of cystitis glandularis were retrospectively analyzed. Totally 71 cases underwent urethra resection. Among them, 23 cases had lower urinary tract obstruction, 6 cases of ineffective after resection of the bladder perfusion. Results 49 cases of 71 cases of transurethral resection were followed up for 6 ~ 36 months. The cystoscopy was normal and the symptom disappeared. The cure rate was 69%. Eighteen cases of bladder perfusion were disappeared or relieved, with an effective rate of 67%. Conclusion Lower urinary tract obstruction is a common cause of cystitis glandularis. Gastricotomy is the main method of treating cystitis glandularis. This method can also remove the obstruction caused by cystitis cystitis lesions, bladder irrigation is an effective method of treatment of cystitis glandularis.