经尿道溃疡完全切除术成功治疗青少年溃疡性间质性膀胱炎：一例报告
Ulcerative interstitial cystitis in an adolescent successfully treated with complete transurethral ulcer resection: A case report.
作者信息
Yuki Eri, Obara Kenji, Kuroki Hiroo, Yamazaki Hiroyuki, Yamana Kazutoshi, Tadokoro Akira, Hiruma Kaede, Tomita Yoshihiko
机构信息
Division of Urology Niigata University Graduate School of Medical and Dental Sciences Niigata Japan.
出版信息
IJU Case Rep. 2018 Dec 14;2(1):51-53. doi: 10.1002/iju5.12038. eCollection 2019 Jan.
INTRODUCTION
Interstitial cystitis is difficult to treat and may affect adolescents.
CASE PRESENTATION
A 15-year-old girl presented with severe pain upon terminal micturition that persisted for approximately 2 hours. The pain had been present for more than 1 month. Cystoscopy revealed severe erosion throughout the trigone. Transurethral fulguration did not improve her symptoms. However, complete electric resection of the ulcer markedly reduced the symptom. After complete resection, pain on urination disappeared and she has had no pain without medication for 15 months.
CONCLUSION
Complete resection not fulguration of the ulcer is effective for interstitial cystitis in adolescent female patients.
引言
间质性膀胱炎难以治疗，且可能影响青少年。
病例报告
一名15岁女孩出现排尿末段严重疼痛，持续约2小时。疼痛已持续1个多月。膀胱镜检查显示膀胱三角区广泛严重糜烂。经尿道电灼术未能改善她的症状。然而，溃疡的完全电切除术显著减轻了症状。完全切除术后，排尿疼痛消失，她在未用药的情况下15个月没有疼痛。
结论
对于青春期女性间质性膀胱炎患者，溃疡的完全切除而非电灼术是有效的。
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