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经尿道电切加术后膀胱灌注化疗药物治疗腺性膀胱炎疗效观察
Transurethral electronresection combined with bladder irrigation of chemotherapeutic drugs for treating cystitis glandularis in 16 cases
【摘要】 目的:探讨腺性膀胱炎诊断与治疗水平。方法:腺性膀胱炎患者16例,膀胱镜检膀胱黏膜表现为滤泡样或绒毛样、乳头样、慢性炎症改变。经尿道电切术加丝裂霉素或吡柔比星膀胱灌注,规律治疗1年,方案为每周1次共4次,每2周1次共4次,其后每月1次共9次,定期做膀胱镜检查。结果:随访7~24个月,平均12个月。14例痊愈,2例复发,无恶变病例。结论:经尿道电切,术后丝裂霉素或吡柔比星膀胱灌注治疗腺性膀胱炎,疗效满意、不良反应低,是治疗腺性膀胱炎的较好方法。
【Abstract】 Objective:To investigate the clinical features of cystitis glandularis and to improve the diagnosis and treatment.Meth-ods:16 cases of cystitis glandularis were reviewed.Cystoscopic examination displayed follicular orvillous,papil lomatous,chronic inflam-mation change.Transurethral electronresection was performed.After surgery all the cases received mitomycinc or pirarubicin bladder irri-gation regularly for 1 year,once a week for one month,once two weeks for two months,and then once a month for nine months.During the follow-up cystoscopy was periodically performed.Results:During the 12-month follow-up(ranging 7-24months),14 cases fully recov-ered,2 had relapse.No case developed adenocarcinoma.Conclusion:Transurethral electronresection combined with irrigation of bladder with mitomycin-c or pirarubicin is effective with less side effect for cystitis glandularis.
【Key words】 Cystitis glandularis; Transurethral electronresection; Irrigation of bladder;
- 【文献出处】 现代医药卫生 ,Modern Medicine & Health , 编辑部邮箱 ,2010年05期
- 【分类号】R699
- 【被引频次】4
- 【下载频次】86