23例腺性膀胱炎治疗体会  

Comprehension of treatment for cystitis glandularis

作　　者：易憬 熊飞[2] 苏良平 李庭庭[3] 陈登 杨兵 张盛龙 张宝珍 刘长 

机构地区：[1]武汉钢铁公司大冶铁矿职工医院,湖北黄石435006 [2]三峡大学第一临床医学院.宜昌市中心人民医院,湖北宜昌443003 [3]华中科技大学同济医学院计划生育研究所,湖北武汉430030

出　　处：《西部医学》2012年第2期289-290,293,共3页Medical Journal of West China

摘　　要：目的探索腺性膀胱炎适度、有效的治疗方法。方法对23例腺性膀胱炎患者给予抗感染联合M受体拮抗剂治疗,伴有前列腺增生症、尿道肉阜、膀胱颈抬高的患者均给予手术治疗,治疗前后经尿常规、尿动力学、膀胱镜及活组织病理学等检查评价患者的疗效。每3个月1次膀胱镜检随访。结果经治疗后患者临床表现、尿常规、尿动力学检查、膀胱镜检及病检较治疗前明显改善。23例随访6～12个月,未发现复发、恶变病例。结论腺性膀胱炎给予抗感染联合M受体拮抗剂治疗有较好的效果,值得在临床推广应用。Objective To explore the clinical fitness and efficacy of treatment for cystitis glandularis.Methods 23 cases with cystitis glandularis were treated by antibiotics and M-receptor antagonist,however,the patients with benign prostate hyperplasia,urethral caruncle,bladder neck obstruction were treated by operation.The efficacy（symptom,urine examination,urodynamic parameters,cystoscopy and biopsy） were evaluated before,3 months,6 months,9 months,12 months after treatment.Results The pre-treatment comparison with post-treatment was significant（P0.05）,including symptom,urine examination,urodynamic test,cystoscopy and biopsy.After 6-12 months,none recurred.Conclusion Antibiotics and M-receptor antagonist can effectively relieve clinical symptom and improve urodynamic parameters of cystitis glandularis.

关 键 词：腺性膀胱炎 治疗 体会 

分 类 号：R694.3[医药卫生—泌尿科学]