【摘要】 目的 :探讨腺性后尿道炎的临床特征、诊断和治疗方法。方法 :回顾性分析我院收治的 2 3例腺性后尿道炎患者的临床资料。主要症状为顽固性尿路刺激症状、排尿不畅或血尿。病灶为多发性 ,位于后尿道 3～ 9点位。 18例 (78.3% )有长期下尿路感染史 ,8例 (34 .8% )伴有腺性膀胱炎。均经电气化术治疗。结果 :2 3例均由膀胱镜活检确诊。 15例 (6 5 .2 % )在电气化术后 ,症状完全消失 ,其余 8例术后症状明显减轻 ,经 1疗程局部化疗后 ,症状亦完全消失。随访 14～ 33个月 (平均 2 6个月 ) ,2 3例中无一例症状复发。结论 :腺性后尿道炎的发生可能与慢性膀胱炎和慢性前列腺炎有关 ,并可同时伴发腺性膀胱炎。膀胱镜活检是确定诊断的唯一方法。经尿道电气化术是治疗本病简便而有效的方法。对术后症状未完全消失者 ,局部辅佐化疗具有显著效果。更多还原

【Abstract】 Purpose:To investigate the clinical features,diagnosis and treatment of posterior urethritis glandularis.Method:The clinical data of 23 patients with posterior urethritis glandularis admitted in our hospital were analysed retrospectively.Results:The cardinal symptoms were stubborn urethral irritation symptom, dysuria or hematuria.The foci were multiple and situated on posterior urethra from 3 o′clock to 9 o′clock.18 patients( 78.3%) had the history of lower urinary tract infection.8( 34.8%) suffered from cystitis glandularis simultaneously.All of the 23 cases(100%) were diagnosed by cystoscopic biopsy.The symptoms disappeared completely after transurethral electrovaporization (TUEV) in 15 cases ( 65.2%’).The symptoms alleviated obviously after TUEV and disappeared after a single course of topical adjuvant chcmothcrapy in the remaining 8 cases ( 34.8%).During 14～33 mouths(mean 26 mouths) of follow-up,none of 23 patients had recurrent symptoms.Conclusion:The occurrence of posterior urethritis glandularis likely relates to chronic cystitis and chronic prostatitis.The disease may not be very uncommon,and can associate with cystitis glandularis simultaneously.Cystoscopic biopsy is the only method of establishing the diagenosis.TUEV is a simple,convenient and effective method for the treatment of the disease.The postoperative topical adjuvant chemotherapy has marked effect for the patients of no complete disappearance of symptoms.更多还原