CAJ | 학술논문

目的：通过分析170例女性腺性膀胱炎的临床症状、尿流动力学数据和诊疗随访过程，对于女性腺性膀胱炎的诊疗有进一步的认识。方法本组170例女性腺性膀胱炎病例，行经尿道膀胱内电灼病灶，术后结合膀胱灌注治疗。所有病例术前、术后均行尿流率检查，治疗效果不佳病例行膀胱压力-流率和尿道压测定。结果本组170例中，108例治愈，62例未治愈。所有病例经治疗后，最大尿流率和平均尿流率均有改善。62例未治愈病例尿流动力学测定发现储尿期逼尿肌活动、膀胱感觉、膀胱顺应性、排尿期逼尿肌收缩力、排尿时肌电活动异常，最大尿道压和最大尿道关闭压偏高。结论女性腺性膀胱炎常合并下尿路症候群。膀胱镜结合尿流动力学检查有助于女性腺性膀胱炎诊疗方案的选择。
목적：통과분석170례녀성선성방광염적림상증상、뇨류동역학수거화진료수방과정，대우녀성선성방광염적진료유진일보적인식。방법본조170례녀성선성방광염병례，행경뇨도방광내전작병조，술후결합방광관주치료。소유병례술전、술후균행뇨류솔검사，치료효과불가병례행방광압력-류솔화뇨도압측정。결과본조170례중，108례치유，62례미치유。소유병례경치료후，최대뇨류솔화평균뇨류솔균유개선。62례미치유병례뇨류동역학측정발현저뇨기핍뇨기활동、방광감각、방광순응성、배뇨기핍뇨기수축력、배뇨시기전활동이상，최대뇨도압화최대뇨도관폐압편고。결론녀성선성방광염상합병하뇨로증후군。방광경결합뇨류동역학검사유조우녀성선성방광염진료방안적선택。
Objective To study the clinical symptoms,urodynamics and their clinical significances of cystitis glandularis in female patients. Methods:170 cases of cystitis glandularis in female were studied. Cystoscopic,urodynamic and clinical feature data were analysed respectively. Maximum flow rate,average flow rate,pressure flow study,urethral pressure profile were measured. Results:Among the 170 cases,108 cases were curative,62 cases were not curative. Al of the female patients had higher maximum flow rate, average flow rate after operative treatments.The contractility of the detrusor muscle,sense of bladder,compliance of bladder and sphincter electromyography were abnormal in the 62 cases.Conclusion: Cystitis glandularis in female patients often have lower urinary tract symptoms. The urodynamics combine with cystoscopy are very important for the treatment protocols and the evaluation of prognosis.