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经尿道电切联合丝裂霉素治疗腺性膀胱炎

Transurethral resection combining with Mitomycin C instillation for the treatment of cystitis glandularis

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【作者】 黄树声李伟东黄桂晓赵磊段启林曾静何勇甘露

【Author】 HUANG Shusheng1 LI Weidong1 HUANG Guixiao1(1Department of Urology, Luohu district Hospital of Shenzhen, Guangdong, 518001, China)

【机构】 深圳市罗湖区人民医院泌尿外科深圳市罗湖区人民医院泌尿外科 广东深圳518001广东深圳518001

【摘要】 目的:探讨腺性膀胱炎治疗的有效方法。方法:对55例腺性膀胱炎患者以经尿道前列腺电切镜电切除病变组织,3例开放手术电灼膀胱病变部位并同时去除合并的相关诱因,术后3~7天均用丝裂霉素30mg膀胱灌注,每周1次,连续8次;5例单纯丝裂霉素膀胱灌注8次。结果:随访6~36个月,63例患者中55例电切术后配合丝裂霉素灌注痊愈52例,好转2例;3例开放手术痊愈2例,好转1例;5例单纯丝裂霉素膀胱灌注痊愈3例,好转1例,其他转归2例。结论:经尿道电切或电灼病变组织,需去除导致腺性膀胱炎的相关诱因,术后大剂量丝裂霉素膀胱灌注,可缓解或治愈腺性膀胱炎。

【Abstract】 Objective:To evaluate the comprehensive treatment outcomes of cystitis glandularis.Methods:Totally 63 Cases of cystitis glandularis were included in this study.Transurethral resection was performed followed by Mitomycin C bladder istillation once a week for 8 weeks in 55 cases,open surger with Mitomycin C instillation in 3 cases and Mitomycin C instillation alone in 5 cases.Results:The mean follow-up was 28 months (range 6 to 36 months). Of the 63 cases, 57 fully recovered and 4 improved. Conclusions:Transurethral resection or galvanocautery with the bladder instillation with Mitomycin C is the essential therapy for cystitis glandularis.

【关键词】 腺性膀胱炎丝裂霉素膀胱灌注
【Key words】 Cystitis glandularisMitomycin CInstillation
  • 【文献出处】 临床泌尿外科杂志 ,Journal of Clinical Urology , 编辑部邮箱 ,2007年07期
  • 【分类号】R694.3
  • 【被引频次】27
  • 【下载频次】109
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