经尿道电灼术治疗女性腺性膀胱炎疗效与心理因素分析  

Analysis of the Correlations between Dissatisfied Outcome of Transurethral Electronresection and Adverse Psychological Factors in Female Patients with Cystitis Glandularis

作　　者：李炎生[1] 张清伟[1] 肖亚军[1] 邢毅飞[1] 程银涛[1] 苏涛[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院泌尿外科,武汉430022

出　　处：《临床泌尿外科杂志》2010年第5期388-390,共3页Journal of Clinical Urology

摘　　要：目的:分析经尿道电灼术治疗女性腺性膀胱炎的手术效果与心理因素的关系,为腺性膀胱炎的综合治疗提供依据。方法:随访99例行经尿道腺性膀胱炎电灼术的女性患者;对其中18例术后9个月以上辅助检查结果正常、症状未消失的女性腺性膀胱炎患者行焦虑和抑郁现况调查。结果:随访9～38个月,99例中症状消失27例,症状改善38例,症状无改善34例;膀胱镜、尿常规等辅助检查结果正常57例,异常42例。其中辅助检查结果正常,症状未消失18例焦虑和抑郁发生率、得分不仅高于中国常模,亦高于普通腺性膀胱炎患者。结论:单纯行经尿道电灼术治疗女性腺性膀胱炎疗效欠佳者,可能与患者合并焦虑和抑郁状态相关,有必要行心理干预和综合治疗。Objective：To analyze the outcome of transurethral electronresection for treating cystitis.glandularis in femal patients, and to explore the possible factors correlated with poor result of this approach, trying to provide evidences for combined modalities in treating cystitis glandularis. Methods： 99 female patients treated with transurethral electronresection in our hospital were followed up, the Self rating Anxiety Scale （SAS） and the Self-rating Depression Scale （SDS） were employed to evaluate the psychological response of those 18 female patients who ex- perienced surgical treatment for more than 9 months and showed normal results of urinalysis and cystoscopy while consistently presented with clinical manifestations. Results： Of the 99 patients treated with transurethral electronresection, clinical symptoms of cystitis glandularis disappeared in 27, improved in 38 and unaltered in 34 patients after 9 to 38-month follow up. 57 patients presented with negative results while 42 with positive findings examined by urinalysis and cystoseopy. Among those patients with negative findings, 32 patients showed sustained manifestations of cystitis glandularis. 18 of those patients illustrated a higher incidence of anxiety and depression, and the average scores of SAS and SDS were not only higher than the normal levels of Chinese population, but also higher than the levels of normal female patients of cystitis glandularis. Conclusions：The outcome of transurethral electronresection for treating female cystitis glandularis is far from satisfactory, patients suffer form anxiety and depression may be one of the reasons for poor prognosis. It therefore, is necessary to treat the patients with supportive psychotherapeutic intervention and with combined approaches.

关 键 词：腺性膀胱炎 经尿道电灼术 焦虑 抑郁 

分 类 号：R694[医药卫生—泌尿科学]