腺性膀胱炎及其并发症治疗的临床分析

目的：探讨腺性膀胱炎及其并发症的治疗方法。方法：回顾性分析85例腺性膀胱炎患者的临床资料：初诊时行膀胱镜检查，活检病理报告均为腺性膀胱炎，其中并发肾积水16例，前列腺增生15例，尿道狭窄12例，膀胱占位性病变12例，膀胱结石4例。采取腔内手术71例，开放手术14例。结果：首次手术后病理检查报告仍为单纯腺性膀胱炎者55例，随访中均未发生恶变，生存良好；并发恶性肿瘤者30例，5例于首次术后10～36个月死亡。结论：腺性膀胱炎及其并发症应同时治疗，腔内手术、开放手术都是有效的治疗方法，临床医生可根据病变情况适当选择。

Clinical Analysis of the Diagnosis and Treatment of Cystitis Glandularis with Complication

Objective：To discussed the diagnosis and treatment of cystitis glandularis with complication. Methods：A retrospective analysis of clinical data of 85 cases was performed. All cases had been performed eystoscopic examination of the mass in first, and the pathological diagnosis was cystitis glandularis. The cases complicated with hydronephrosis for 16, hyperplasia of prostate for 15, urethral stricture for 4, the mass of the bladder for 12, calculus of the bladder for 4.71 eases were performed transurethral operation, and other opened operation. Results： After first operation, the pathological diagnosis was cystitis glandularis in 55 cases that followed up, and there has been no new pathological growth of the mass or malignant change, and was malignant tumor in other 30 cases that 5 died followed up 10-36 months. Conclusions： The suitable treatment for cystitis glandularis with different complication were transurethral or opened operation, and may be choieed appropriately according the lesions.