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目的 比较腺性膀胱炎三种治疗方法的效果。方法 86例腺性膀胱炎患者分别行膀胱药物灌注、经尿道电切、经尿道电切加膀胱药物灌注治疗。随访观察症状缓解程度和膀胱镜病检结果 1年。结果 73例完成了随访调查 ,占 84.9%。三种方法治疗后症状缓解程度 ,差异无显著性意义 (P >0 .0 5 ) ;膀胱镜病检复查 ,灌注治疗效果好于电切治疗效果 ,综合治疗效果好于电切治疗效果 ,差异具有显著性意义 ;比较灌注治疗后膀胱镜病检阴性例数 ( 2 2 /2 8)与综合治疗后膀胱镜病检阴性例数 ( 3 0 /3 4) ,差异无显著性意义 ( χ2 =1.0 60 ,P =0 .3 0 3 )。结论 膀胱药物灌注和经尿道电切加膀胱药物灌注的膀胱镜病检复查 ,效果好于电切治疗的效果。
Objective To compare the effects of three treatment methods of cystitis glandularis. Methods Totally 86 patients with glandular cystitis were treated with bladder drug infusion, transurethral resection of the urethra, transurethral resection of the bladder and infusion of bladder drug. Follow-up observation of symptoms and cystoscopy remission 1 year results. Results 73 cases completed the follow-up survey, accounting for 84.9%. There was no significant difference in the degree of symptom relief between the three methods (P> 0.05). The cystoscopy examination and perfusion treatment were better than the electrocision treatment, and the comprehensive treatment effect was better than that of the electrotomy, the differences (P <0.05). There was no significant difference between the two groups (P <0.05), and there was no significant difference between the two groups (P> 0.05) 1.0 60, P = 0 .3 0 3). Conclusions Bladder drug infusion and transurethral resection of bladder cystoscopy with cystoscopy are more effective than electrosurgical treatment.