CAJ | 학술논문

目的：探讨上尿路梗阻伴发慢性非细菌性膀胱炎的诊治分析。方法回顾性分析137例上尿路梗阻住院病人伴发慢性非细菌性膀胱炎的临床资料，通过尿液培养、膀胱镜检查、活检等检查手段以及输尿管镜手术过程中确诊慢性非细菌性膀胱炎。结果137例中发现慢性非细菌性膀胱炎32例（23．4％），这其中上尿路因结石梗阻出现的慢性非细菌性膀胱炎27例（19．7％），非结石因素梗阻原因出现的慢性非细菌性膀胱炎5例（3．6％）。32例非细菌性膀胱炎，腺性23例，增生性3例，膀胱白斑病变6例，合并慢性输尿管炎、输尿管息肉11例。在32例上尿路梗阻伴发非细菌性膀胱炎病例中，中段尿细菌培养阳性3例，均为大肠埃希氏杆菌，96例不伴有慢性膀胱炎病例中中段尿培养阳性者11例，大肠埃希氏杆菌10例，金葡菌和表皮葡萄球菌1例。6例上尿路梗阻伴发非细菌性膀胱炎病例予以随访3月，膀胱炎症病灶消失。结论上尿路梗阻情况下可伴发慢性非细菌性膀胱炎。
목적：탐토상뇨로경조반발만성비세균성방광염적진치분석。방법회고성분석137례상뇨로경조주원병인반발만성비세균성방광염적림상자료，통과뇨액배양、방광경검사、활검등검사수단이급수뇨관경수술과정중학진만성비세균성방광염。결과137례중발현만성비세균성방광염32례（23．4％），저기중상뇨로인결석경조출현적만성비세균성방광염27례（19．7％），비결석인소경조원인출현적만성비세균성방광염5례（3．6％）。32례비세균성방광염，선성23례，증생성3례，방광백반병변6례，합병만성수뇨관염、수뇨관식육11례。재32례상뇨로경조반발비세균성방광염병례중，중단뇨세균배양양성3례，균위대장애희씨간균，96례불반유만성방광염병례중중단뇨배양양성자11례，대장애희씨간균10례，금포균화표피포도구균1례。6례상뇨로경조반발비세균성방광염병례여이수방3월，방광염증병조소실。결론상뇨로경조정황하가반발만성비세균성방광염。
Objective To investigate nonbacterial cystitis in the upper urinary tract obstruction. Methods 137 cases with upper urinary tract obstruction were included in the study. Chronic nonbacterial cystitis was confirmed by mid-stream urine culture (MSU), cystoscopy, biopsy, and ureteroscopy. The incidence , diagnosis and treatment of nonbacterial of nonbacterial cystitis were investigated retrospectively. Results Thirty-two cases of chronic nonbacterial cystitis were found in 137 cases with upper urinary tract obstruction (23.4%), in which 27 cases were caused by upper urinary lithiasis obstruction ( 19 . 7%) , 5 cases by non-calculus obstruction ( 3 . 6%) . Of 32 cases , glandular cystitis had 23 cases, proliferative cystitis 3 cases, vesical leukoplakia lesion 6 cases. Moreover , the nonbacterial cystitis was complicated with chronic ureteritis and ureteral polyps in 11 cases. In the nonbacterial cystitis cases, MSU was positive in 3 cases (all caused by Escherichia coli), while in 96 cases without nonbacterial cystitis, MSU was positive in 11 cases, including 10 cases of E.coli infection, one of staphylococcus aureus infection and one of staphylococcus epidermidis infection. .Sixteen nonbacterial cystitis patients were followed up for 3 months post-treatment of relief of obtrucion. .The patient got recovery. Conclusion The upper urinary tract obstruction may be associated with high incidence of nonbacterial cystitis.