女性尿道肉阜患者行膀胱镜检查的临床意义  

Clinical Significance of Cystoscopy for Caruncle of Female Urethra

作　　者：伍信阳[1] 周兴[1] 陈志光[1] 曾格瓦[1] 何兆伟[1] 谢文琪[1] 

机构地区：[1]广州医学院第二附属医院泌尿外科,广东广州510260

出　　处：《国际医药卫生导报》2007年第18期44-48,共5页International Medicine and Health Guidance News

摘　　要：目的探讨女性尿道肉阜患者行膀胱镜检查的临床意义。方法对100例女性尿道肉阜患者行膀胱镜检查并活检,结合病史等进行临床分析。结果100例女性尿道肉阜患者行膀胱镜检查,其中98例膀胱镜下发现膀胱单纯性或慢性增生性炎症改变。以病理分类,慢性膀胱炎占90例（其中10例合并膀胱粘膜鳞状化生,腺性膀胱炎占80例）,腺性后尿道炎2例,慢性膀胱颈口炎症14例（10例为合并发生）,结核性膀胱炎2例,正常粘膜2例。采用电切术治疗尿道肉阜,TURBT治疗腺性膀胱炎。结论女性尿道肉阜患者常合并腺性膀胱炎,手术治疗必须同时处理两种疾病。凡是遇到女性尿道肉阜的患者,宜行膀胱镜检及病理活检以免漏诊慢性膀胱炎。Objective To explore clinical significance of cystoscopy for caruncle of female urethra. Methods Cystoscopy and biopsy for the total 100 cases of caruncles of female urethra and combining with their history which were made an analysis. Results 98 cases of the total 100 cases of caruncle of female urethra that they were found having simple or chronic hyperplasia inflammation. According to the pathology, 90 cases were chronic cystitis （10 cases complicated with mucosa squamous epithelial metaplasia , 80 cases were cystitis glandularis）, 2 cases were posterior urethritis glandularis, 14 cases were chronic cystitis on the neck（10 cases were complicated ）, 2 cases were tuberculosis of bladder, 2 cases were normal mucosa .Caruncle of female urethra were operated by electroresection and cystitis glandularis were operated by TURBT. Conclusion The caruncles of female urethra are often complicated with cystitis glandularis. They must be treated during operation at the same time. For any caruncle of female urethra, who need cystoscopy, biopsy and pathology diagnosis in case of missing the diagnosis of cystitis glandularis.

关 键 词：尿道肉阜 腺性膀胱炎 膀胱镜 

分 类 号：R6[医药卫生—外科学]