绝经后女性反复下尿路感染与囊腺性膀胱炎  

Repeated low urinary tract infection in the post-menopause females and cystitis cystica and/or cystitis glandularis

作　　者：郎根强[1] 曹建伟[1] 章益峰[1] 褚健[1] 庄剑秋[1] 李国宝[1] 

机构地区：[1]解放军第四一一医院泌尿外科,上海200081

出　　处：《现代泌尿外科杂志》2006年第3期164-165,共2页Journal of Modern Urology

摘　　要：目的探讨绝经后反复下尿路感染女性中囊和/或腺性膀胱炎的发病情况及其治疗。方法对87例绝经后反复下尿路感染女性进行了膀胱镜检查及病理活检,根据检出囊和/或腺性膀胱炎的各种临床表现,采取相应的治疗。结果本组囊和/或腺性膀胱炎检出率为70.1%(61/87),所有检出患者治疗后临床不适症状消失,随访3-36个月,复发3例,再次行电切术后治愈。结论女性绝经后反复下尿路感染临床常见,其囊和/或腺性膀胱炎发病率高。经尿道汽化电切术,并辅以膀胱颈电切开术、膀胱灌注化疗、长期服用小剂量抗生素、尿道外口外用雌激素软膏或口服植物类雌激素等综合措施是治疗本病的有效方法。Objecitve To evaluate the incidence and treatment of cystitis cystica and/or cystitis glandularis in the postmenopause females who suffered from repeated low urinary tract infection（LUTI）. Methods 87 cases of post-menopause females who suffered from repeated LUTI were treated with cystoscopy and biopsy, of whom 61 were ill with cystitis cystica and/or cystitis glandularis and were treated with the operation of transurethral resection and electrovaporization and other therapies according to their different clinical manifestations. Results The incidence rate of cystitis cystica and/or cystitis glandularis in the study group was 70.1% （61/87）. The clinical manifestations of these cases disappeared after treatment. After a follow-up for 3-36 months （mean 28 months）, recurrence was found in 3 cases during 6-28 months and were cured after transurethral operation again. Conclusion Repeated LUTI is very common in post-menopause females, and the incidence rate of cystitis cystica and/or cystitis glandularis is high. Transurethral resection and electrovaporization combined with bladder neck electroincision, bladder instillation of drug, low dose antibiotic taking and estrogen applications, are effective in treating these patients.

关 键 词：尿路感染 腺性膀胱炎 治疗 

分 类 号：R694.3[医药卫生—泌尿科学]