男性腺性膀胱炎的临床表现与治疗

The Clinical Manifestations and Treatment of Male Gonads Sex Cystitis

摘要: 目的：探讨男性腺性膀胱炎(CG)的临床表现与治疗效果。方法：回顾性分析我院1999年~2014年治疗的22例成年男性经病理证实为腺性膀胱炎的临床资料。本组22例患者年龄27~74岁，平均52.5岁。临床表现：尿频、尿急症状18例，尿痛13例，血尿7例，下腹部疼痛8例，有20例患者有临床症状经两周以上抗炎治疗或反复抗炎治疗疗效不佳。所有患者随访3~48个月。结果：22例患者均行经尿道膀胱病灶电切术并联合膀胱灌注治疗，有17例患者治愈或好转，4例临床症状无明显改善，有1例患者术后临床症状加重，经抗炎及膀胱灌注治疗6个月后好转，无恶变病例。结论：男性腺性膀胱炎呈逐渐多发趋势，应提高对男性腺性膀胱炎的重视及诊断水平，经尿道膀胱病灶电切术联合膀胱灌注治疗创伤小，疗效明确，适合临床推广。

Abstract: Objective: To study the male sex gland sex cystitis (CG) of clinical manifestation and therapeutic effect. Methods: Retrospective analysis of 1999-2014 treatment of 22 cases of adult male con-firmed by pathology for the clinical data of gland sex cystitis. This group of 22 patients aged 27 - 74, an average 52.5 years. Clinical Performance: 18 cases symptoms of urinary frequency, urgency, urine pain 13 cases, 7 cases of hematuria, lower abdominal pain in 8 cases, 20 patients had clinical symptoms after more than two weeks anti-inflammatory therapy or repeated anti-inflammatory treatment curative effect was poor. All patients were followed up for 3 months - 48 months. Results: 22 patients with transurethral plasmakentic vaporization of bladder lesions were cutting and with bladder perfusion therapy. There are 17 patients cured or improved; 4 cases of clinical symptom have no obvious improvement; 1 case of patient’s postoperative clinical symptom is aggravating, anti-inflammatory and bladder perfusion improved after treatment for 6 months, no cases of malignant transformation. Conclusion: Male sex gland sex cystitis in multiple trend gradually, should be raised to the attention of the male sex gland sex cystitis and diagnosis level, transurethral bladder lesions electricity cut method combined the bladder perfusion treatment of small trauma. The curative effect is clear and suitable for clinical promotion.