国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
4期
484-486
,共3页
庞程%杨志坚%陈敏坚%何红梅%吴炳权%刘肇华%刘锡海
龐程%楊誌堅%陳敏堅%何紅梅%吳炳權%劉肇華%劉錫海
방정%양지견%진민견%하홍매%오병권%류조화%류석해
腺性膀胱炎%经尿道电切术%膀胱腔内灌注%吡柔比星
腺性膀胱炎%經尿道電切術%膀胱腔內灌註%吡柔比星
선성방광염%경뇨도전절술%방광강내관주%필유비성
Cystitis glandularis%Transurethral resection%Bladder irrigation%Pirarubicin
目的 探讨腺性膀胱炎的诊断及治疗方法.方法 回顾分析36例腺性膀胱炎的临床资料.结果 36例均顺利手术治疗,未出现并发症.随访6~ 24个月,症状消失,膀胱镜检未见复发30例;症状减轻,但膀胱镜检未见复发病灶4例.无复发率94.44%(34/36).症状减轻,镜检发现复发病灶2例.2例均为术后6个月膀胱镜检发现病变,再次电切和灌注治疗.结论 腺性膀胱炎是一种具有潜在恶变可能性的膀胱良性病变.内镜电切术后加规范的吡柔比星灌注是治疗和预防腺性膀胱炎复发的一种治疗方法,安全微创、疗效确切.
目的 探討腺性膀胱炎的診斷及治療方法.方法 迴顧分析36例腺性膀胱炎的臨床資料.結果 36例均順利手術治療,未齣現併髮癥.隨訪6~ 24箇月,癥狀消失,膀胱鏡檢未見複髮30例;癥狀減輕,但膀胱鏡檢未見複髮病竈4例.無複髮率94.44%(34/36).癥狀減輕,鏡檢髮現複髮病竈2例.2例均為術後6箇月膀胱鏡檢髮現病變,再次電切和灌註治療.結論 腺性膀胱炎是一種具有潛在噁變可能性的膀胱良性病變.內鏡電切術後加規範的吡柔比星灌註是治療和預防腺性膀胱炎複髮的一種治療方法,安全微創、療效確切.
목적 탐토선성방광염적진단급치료방법.방법 회고분석36례선성방광염적림상자료.결과 36례균순리수술치료,미출현병발증.수방6~ 24개월,증상소실,방광경검미견복발30례;증상감경,단방광경검미견복발병조4례.무복발솔94.44%(34/36).증상감경,경검발현복발병조2례.2례균위술후6개월방광경검발현병변,재차전절화관주치료.결론 선성방광염시일충구유잠재악변가능성적방광량성병변.내경전절술후가규범적필유비성관주시치료화예방선성방광염복발적일충치료방법,안전미창、료효학절.
Objective To investigate the optimal diagnosis and treatment of cystitis glandularis.Methods A retrospective analysis about the clinical data of 36 cases of cystitis glandularis was done.Results 36 cases were performed surgery successfully,no complication happened.The symptoms disappeared,and no recurrence found under cystoscopy in 30 cases who were followed up for 6 to 24 months; the symptom remissed,and no recurrent lesions found under cystoscopy in 4 cases,recurrence-free rate was 94.44% (34/36); 2 cases had relieved symptom,but were found recurrence lesions under microscopic detection.2 cases were found lesions under cystoscopy after 6 months,and then were under-gone transurethral resection and bladder irrigation therapy.Conclusion Cystitis glandularis is a benign lesion of the bladder which is potentially malignant.Endoscopic transurethral surgery plus standard infusion of pirarubicin is a safe,minimally invasive,and effective therapy of preventing and treating the recurrence of cystitis glandularis.