CAJ | 학술논문

目的探讨女性膀胱黏膜白斑的诊断及治疗方法.方法回顾性分析2006年1月～2011年11月共32例女性膀胱黏膜白斑患者的临床治疗.结果 32例患者都顺利完成治疗,术后1～3周内症状消失20例,尿检异常者均转正常,术后6～8周症状消失者6例,术后2个月对同时伴发腺性膀胱炎的5例复查膀胱镜,1例腺性膀胱炎复发,再次电切治疗,术后3个月对单纯膀胱黏膜白斑的25例复查膀胱镜检查,均未见膀胱黏膜白斑复发,2例失访.结论膀胱镜检加活检对膀胱黏膜白斑诊断具有重要作用,经尿道电切术治疗膀胱黏膜白斑或/和并发腺性膀胱炎手术方法简单,易于掌握,创伤小、出血少是治疗该病的有效方法.
목적 탐토녀성방광점막백반적진단급치료방법.방법 회고성분석2006년1월～2011년11월공32례녀성방광점막백반환자적림상치료.결과 32례환자도순리완성치료,술후1～3주내증상소실20례,뇨검이상자균전정상,술후6～8주증상소실자6례,술후2개월대동시반발선성방광염적5례복사방광경,1례선성방광염복발,재차전절치료,술후3개월대단순방광점막백반적25례복사방광경검사,균미견방광점막백반복발,2례실방.결론 방광경검가활검대방광점막백반진단구유중요작용,경뇨도전절술치료방광점막백반혹/화병발선성방광염수술방법간단,역우장악,창상소、출혈소시치료해병적유효방법.
Objectives To re-evaluate the skills of diagnosis and treatment of female leucoplakia vesicae.Methods The records of 32 cases with leucoplakia vesicae from January 2006 to November 2011 were retrospectively reviewed.Results 32 cases all successfully underwent the treatment,of which 20 cases of symptoms disappeared in lto 3weeks and 6 cases disappeared in 6 to 8 weeks postoperatively.5 cases with leucoplakia viscae simultaneously associated cystitis glandularis underwent cystoscopy examination in 2 months later postoperatively,of which one case was found recurrence of cystitis glandularis and underwent transurethral resection of bladder tissue again.25 cases with simply leuoplakia viscae were re-examined by cystoscopy in 3 months later postoperativel and not found recurrence of leuoplakia viseae,of which 2 cases were lost for follow-up.Conclusions Cystoseopy and biopsy for diagnosis of leuoplakia viscae play an important role and transurethral resection of bladder tissue to treatment of leuoplakia viscae or/and complicated cystitis glandularis is simple,easy to master,less trauma,less bleeding and effective.