CAJ | 학술논문

目的研究女性腺性膀胱炎的临床诊断与治疗方法,观察其疗效与复发情况.方法对47例女性腺性膀胱炎患者采用经尿道电切术治疗,其中32例术后加膀胱腔内灌注治疗.随机分为三组:单纯电切组(A组,15例),另两组术后分别给予比柔比星(B组,16例)和丝裂霉素(C组,16例)腔内灌注治疗,随访1年,观察患者症状缓解情况和复发情况.结果 44例患者完成随访.三组有效率分别为A组38.5%,B组87.5%,C组86.7%,B、C组与A组比较差异有统计学意义(x2=13.80,P＜0.01);三组复发率分别为A组30.8%.B组0,C组13.3%,各组复发率比较差异无统计学意义(X2=4.86,P＞0.05).结论腺性膀胱炎的临床表现多样化,尿流动力学检查无特异性;采用经尿道电切加膀胱腔内灌注治疗效果好于单纯电切术治疗,复发率低.
목적 연구녀성선성방광염적림상진단여치료방법,관찰기료효여복발정황.방법 대47례녀성선성방광염환자채용경뇨도전절술치료,기중32례술후가방광강내관주치료.수궤분위삼조:단순전절조(A조,15례),령량조술후분별급여비유비성(B조,16례)화사렬매소(C조,16례)강내관주치료,수방1년,관찰환자증상완해정황화복발정황.결과 44례환자완성수방.삼조유효솔분별위A조38.5%,B조87.5%,C조86.7%,B、C조여A조비교차이유통계학의의(x2=13.80,P＜0.01);삼조복발솔분별위A조30.8%.B조0,C조13.3%,각조복발솔비교차이무통계학의의(X2=4.86,P＞0.05).결론 선성방광염적림상표현다양화,뇨류동역학검사무특이성;채용경뇨도전절가방광강내관주치료효과호우단순전절술치료,복발솔저.
Objective To evaluate the procedure of diagnosis and treatment for cystitis glandularis in female. Methods Forty-seven patients were classified into 3 groups randomly after being operated by tuansurethral resection:15 cases without any other therapy(A group), 16 cases with bladder instillation of pirarubicin afterward (B group), 16 cases with bladder instillation of mitomycin afterward (C group). Symptomatic reliof and recurrence were investigated in 1-year follow-up visit. Results Forty-four cases had fulfilled the entire follow-up visit. The effective rates of the three groups were 38.5%,87.5% and 86.7% respectively (X2=13.80,P＜0.01 ), the recurrence rate was 30.8% ,0,13.3% respectively (X2=4.86,P＞0.05).Conclusions The clinical situation of cystitis glandularis has no specificity. Cystisis glandularis has diversification of the clinical symptoms, urodynamics. Transurethral resection with bladder instillation is more effective than transttrethral resection simply, the recurrence rate is lower.