腺性膀胱炎的临床治疗与尿动力学分析（附36例报告）

目的：探讨腺性膀胱炎患者的临床治疗及尿动力学表现。方法：回顾性分析腺性膀胱炎病例36例，其中女性27例，男性9例。所有患者均诉尿频、尿急，其中14例合并尿痛。膀胱镜下均表现为膀胱黏膜滤泡样或绒毛样改变，合并膀胱后唇抬高13例。25例患者行膀胱镜下电切术＋术后灌注吡柔比星，9例患者单纯行膀胱镜下电切术，2例患者行膀胱全切＋回肠膀胱术。所有患者均行尿动力学检查。结果：行电切术＋膀胱灌注组复发率明显低于单纯电切组。尿动力学检查主要表现为下尿路排尿功能障碍，经治疗后尿动力学异常情况明显好转。结论：经尿道病变部位电切术＋术后膀胱灌注化疗药物是腺性膀胱炎的首选治疗方法。尿动力学检查在腺性膀胱炎的诊断及疗效评估中占据重要地位。

The treatment and urodynamic analysis of cystitis glandularis: a report of 36 cases

Objective： To study the clinical and urodynamic features of cystitis glandularis. Methods： Clinical data from 36 patients with cystitis glandularis were reviewed, including 27 females and 9 males. All of patients complained frequency and urgency,including 14 patients with odynuria. The specific morphological changes under cystoscopy were follicular and villous changes in mucosa. Twenty five patients were treated with transurethral resection combined with bladder instillation of drug, 9 patients with transurethral resection, and 2 patients with Bricker operation. Urodynamics were performed in all of patients. Results： Transurethral resection combined with bladder instillation was a more effective treatment than transurethral resection alone. Dysfunction in urination was a main manifestation in urodynamics. Conclusion： The main treatment modality for cystitis glandularis is transurethral resection combined with bladder instillation of chemotherapeutic drug. Urodynamic study plays an important role in the diagnosis and assessment of therapeutic effect of this disease.