Ma Rong, Li Xiao-bei, Yang Guang, Li Wen-hua, Wang Yong, Tian Hui-zhong
Center of Renopathy and Urology, Central Hospital of Aviation Industry, Beijing, China.
Zhonghua Yi Xue Za Zhi. 2009 Sep 29;89(36):2571-3.
To evaluate the efficacy and necessity of transurethral electro-resection as sole modality for the treatment of cystitis glandularis.
The clinical data of 48 cases were reviewed. The patients were divided into two groups. One control group of 25 cases was treated by transurethral electro-resection or electric coagulation combined with bladder instillation of anti-tumor drugs. The other investigation group of 23 cases was treated by transurethral electro-resection as sole modality. The cystoscopy was performed at 3 months post-operatively to judge if the disease recurred. And the efficacy of two groups was compared.
In the control group, 21 cases had normal cystoscopic finding and the rate of lesion removal was 84%, cure rate 72% and efficacy rate 92%. In the investigation group, 19 cases had normal cystoscopic finding and the rate of lesion removal was 83%, cure rate 74% and efficacy rate 87%. There was no statistical significance between these two groups.
Using transurethral electro-resection as a major therapy without bladder instillation of anti-tumor drugs is feasible. It can reduce the hospitalization cost and economize the social resources.
评估经尿道电切术作为腺性膀胱炎单一治疗方式的疗效及必要性。
回顾48例患者的临床资料。将患者分为两组。对照组25例，采用经尿道电切术或电凝术联合膀胱灌注抗肿瘤药物治疗。研究组23例，采用经尿道电切术作为单一治疗方式。术后3个月行膀胱镜检查判断疾病是否复发，并比较两组疗效。
对照组膀胱镜检查正常21例，病变切除率84%，治愈率72%，有效率92%。研究组膀胱镜检查正常19例，病变切除率83%，治愈率74%，有效率87%。两组间差异无统计学意义。
以经尿道电切术作为主要治疗方法，不进行膀胱灌注抗肿瘤药物是可行的。它可以降低住院费用，节约社会资源。
