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目的 探讨腺性膀胱炎的诊断与治疗效果。 方法 对 2 5例腺性膀胱炎患者行抗感染、经尿道电切加汽化、膀胱药物灌注等治疗。 结果 2 5例随访 6～ 78个月 ,平均 5 8个月。其中治愈 18例 ;6例好转者在 6～ 18个月内复发 ;1例在术后 4年恶变为膀胱腺癌。 结论 在解除膀胱出口梗阻的前提下 ,经尿道电切、汽化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-five patients with glandular cystitis were treated with anti-infection, transurethral electrovaporization and bladder drug infusion. Results 25 cases were followed up for 6 ~ 78 months with an average of 58 months. Among them, 18 cases were cured, 6 cases improved and relapsed within 6 to 18 months, and 1 case changed to cystadenocarcinoma 4 years after operation. Conclusion In the premise of relieving bladder outlet obstruction, transurethral electrovaporization and vaporization combined with bladder drug infusion is an effective treatment for cystitis glandularis. Glandular cystitis malignant tendency, should be followed up closely.