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目的:探讨经尿道电汽化加丝裂霉素灌注治疗腺性膀胱炎的临床应用价值。方法:38例腺性膀胱炎采用可持续灌洗电切镜,经尿道使用沟槽状滾型及铲状汽化电极,对膀胱病变处行轻压接触式电汽化处理;电汽化术后一周开始予丝裂霉素(20mg/次)膀胱灌注。结果:35例获随访,随访3～36个月。30例症状消失,3例好转,2例复发。血、尿常规检查基本正常,肝、肾功能检查无明显变化。结论:经尿道电汽化加丝裂霉素灌注治疗腺性膀胱炎,操作简单,安全可靠,疗效确切,值得临床推广。
Objective: To investigate the clinical value of transurethral electrovaporization and mitomycin infusion in the treatment of glandular cystitis. Methods: Thirty-eight cases of cystitis glandularis were treated with continuous laparoscopic resectoscope. The urethra was treated with groove-shaped roller and spatula-type vaporization electrodes, and the bladder lesions were treated with mild pressure contact electrovaporization. One week after electrovaporization Mitomycin (20mg / time) intravesical instillation. Results: 35 cases were followed up for 3 to 36 months. 30 cases disappeared, 3 cases improved and 2 cases relapsed. Blood, urine routine examination was normal, no significant changes in liver and kidney function tests. Conclusion: Transurethral electrovaporization plus mitomycin C for the treatment of glandular cystitis is simple, safe, reliable and effective and worthy of clinical promotion.