中外医学研究
中外醫學研究
중외의학연구
Chinese and Foreign Medical Research
2015年
28期
26-27,28
,共3页
男性%腺性膀胱炎%诊断与治疗
男性%腺性膀胱炎%診斷與治療
남성%선성방광염%진단여치료
Male%Cystitis glandularis%Diagnosis and treatment
目的：探讨男性腺性膀胱炎的临床特点与诊治效果。方法：对笔者所在医院收治的20例男性腺性膀胱炎患者经膀胱镜检和病变组织活检明确诊断后行经尿道膀胱病变电切术，术后予以表柔比星膀胱灌注治疗，部分患者加用口服盐酸坦索罗辛胶囊。结果：所有病例均获得随访，随访时间6~24个月，平均12.5个月，其中症状完全缓解、复查膀胱镜未见异常12例，症状部分缓解、复查膀胱镜未见异常7例，症状部分缓解1例，术后14个月复查膀胱镜，镜下和活检提示复发，仍为腺性膀胱炎。结论：男性腺性膀胱炎患者临床症状多变，确诊后行经尿道膀胱病变电切术，术后予以口服盐酸坦索罗辛胶囊及表柔比星膀胱灌注治疗，效果较好，但需术后定期随访。
目的：探討男性腺性膀胱炎的臨床特點與診治效果。方法：對筆者所在醫院收治的20例男性腺性膀胱炎患者經膀胱鏡檢和病變組織活檢明確診斷後行經尿道膀胱病變電切術，術後予以錶柔比星膀胱灌註治療，部分患者加用口服鹽痠坦索囉辛膠囊。結果：所有病例均穫得隨訪，隨訪時間6~24箇月，平均12.5箇月，其中癥狀完全緩解、複查膀胱鏡未見異常12例，癥狀部分緩解、複查膀胱鏡未見異常7例，癥狀部分緩解1例，術後14箇月複查膀胱鏡，鏡下和活檢提示複髮，仍為腺性膀胱炎。結論：男性腺性膀胱炎患者臨床癥狀多變，確診後行經尿道膀胱病變電切術，術後予以口服鹽痠坦索囉辛膠囊及錶柔比星膀胱灌註治療，效果較好，但需術後定期隨訪。
목적：탐토남성선성방광염적림상특점여진치효과。방법：대필자소재의원수치적20례남성선성방광염환자경방광경검화병변조직활검명학진단후행경뇨도방광병변전절술，술후여이표유비성방광관주치료，부분환자가용구복염산탄색라신효낭。결과：소유병례균획득수방，수방시간6~24개월，평균12.5개월，기중증상완전완해、복사방광경미견이상12례，증상부분완해、복사방광경미견이상7례，증상부분완해1례，술후14개월복사방광경，경하화활검제시복발，잉위선성방광염。결론：남성선성방광염환자림상증상다변，학진후행경뇨도방광병변전절술，술후여이구복염산탄색라신효낭급표유비성방광관주치료，효과교호，단수술후정기수방。
Objective:To discuss the clinical features and treatment effect of male cystitis glandularis.Method:20 cases of male cystitis glandularis admitted in our hospital were diagnosed by cystoscopy and pathological examination,treated with transurethral resection and bladder instillation of epirubicin,some patients were given oral administration of tamsulosin hydrochloride.Result:The follow up ranged from 6 to 24 months(mean 12.5 mouths).0f all patients,12 were fully cured,7 were improved,1 case with male cystitis glandularis was relapsed in 14 months later.Conclusion:Male cystitis glandularis has varied clinical symptoms.Combining of the transurethral resection and bladder instillation of epirubicin and some patients with oral administration of tamsulosin hydrochloride can be effective.Postoperative regular follow-up and rechecked by cystoscope is necessary.
