结痂性膀胱炎的成功治疗：一例病例报告及文献综述
Successful treatment of encrusted cystitis: A case report and review of literature.
作者信息
Fu Jin-Gao, Xie Ke-Ji
机构信息
Department of Urology, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-Sen University, Jiangmen 529000, Guangdong Province, China.
Department of Urology, Guangzhou First People's Hospital, Guangzhou 510180, Guangdong Province, China.
出版信息
World J Clin Cases. 2020 Sep 26;8(18):4234-4244. doi: 10.12998/wjcc.v8.i18.4234.
BACKGROUND
Encrusted cystitis (EC) is a chronic inflammation of the bladder associated with mucosal encrustations. Early diagnosis and optimal treatment are not well established. Here, we report a case of EC successfully treated with com-bination therapy.
CASE SUMMARY
A 27-year-old man presented with frequency, urgency, dysuria, gross hematuria and suprapubic pain for 2 mo. He was diagnosed with EC based on characteristic calcifications of the bladder wall (most of them were struvite), cystoscopy and histopathological examination. He was cured after combined therapy of elimination of encrustations, bladder instillation of hyaluronic acid and injection of botulinum-A neurotoxin into bladder submucosal tissue.
CONCLUSION
Bladder instillation of hyaluronic acid and injection of botulinum-A neurotoxin into the bladder submucosal tissue can be used for treatment of EC.
背景
结痂性膀胱炎（EC）是一种与黏膜结痂相关的膀胱慢性炎症。早期诊断和最佳治疗方法尚未完全确立。在此，我们报告一例通过联合治疗成功治愈的EC病例。
病例摘要
一名27岁男性出现尿频、尿急、尿痛、肉眼血尿和耻骨上疼痛2个月。根据膀胱壁特征性钙化（大多数为鸟粪石）、膀胱镜检查和组织病理学检查，他被诊断为EC。经过清除结痂、膀胱内灌注透明质酸以及向膀胱黏膜下组织注射A型肉毒杆菌神经毒素的联合治疗后，他痊愈了。
结论
膀胱内灌注透明质酸以及向膀胱黏膜下组织注射A型肉毒杆菌神经毒素可用于治疗EC。
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