腺性膀胱炎术后不同药物膀胱灌注的疗效观察  

observation on the curative effect of different postoperative bladder perfusion after Cystitis glandularis

作　　者：方平[1] 郑少波[1] 王林辉[2] 徐亚文[1] 杨青[1] 

机构地区：[1]南方医科大学附属珠江医院泌尿外科,广东广州510282 [2]第二军医大学附属长海医院泌尿外科

出　　处：《现代预防医学》2012年第10期2596-2597,共2页Modern Preventive Medicine

摘　　要：目的探讨尿道等离子体双极电切术后不同药物灌注治疗腺性膀胱炎患者的临床效果。方法 176例腺性膀胱炎患者作为研究对象被随机分为实验组和对照组,两组均给予尿道等离子体双极电切术治疗,术后对照组采用吡柔比星灌注治疗,实验组采用丝裂霉素灌注治疗。结果实验组痊愈率和总有效率均高于对照组,1年复发率低于对照组,但差异均无统计学意义(均P﹥0.05)。实验组Qmax显著高于对照组(t=4.356,P﹤0.05),PVR显著低于对照组(t=4.723,P﹤0.05)。结论尿道等离子体双极电切术安全高效,配合使用吡柔比星药物灌注,可以提高临床效果,值得临床考虑。OBJECTIVE To discussion the clinical effect of urethra bipolar plasmakinetic after different drug perfusion in the treatment of cystitis glandularis patients.METHODS 176 cases of cystitis glandularis patients as subjects were randomly divided into experimental group and control group,two groups were given transurethral bipolar plasma electrotomy therapy,and postoperative controls treated with intravesical pirarubicin instillation,and the experimental group treated with mitomycin infusion therapy.RESULTS The cure rate of experimental group and total effective rate was significantly higher than those in the control group,and a recurrence rate of experimental group was significantly lower than that of control group（P﹥0.05）.The experimental group Qmax was significantly higher than that of control group（t = 4.356,P﹤0.05）,and the PVR was significantly lower than that of the control group（t = 4.723,P﹤0.05）.CONCLUSION Transurethral bipolar plasmakinetic resection is safe and effective,and the pirarubicin instillation of drug can improve the clinical effect,which is worthy of clinical consideration.

关 键 词：尿道等离子体双极电切术 腺性膀胱炎 丝裂霉素 吡柔比星 灌注治疗 

分 类 号：R694[医药卫生—泌尿科学]