目的:比较腺性膀胱炎经尿道等离子电切加羟基喜树碱膀胱灌注与单纯羟基喜树碱膀胱灌注的临床疗效.方法:选64例腺性膀胱炎患者,随机分为单纯羟基喜树碱膀胱灌注组(灌注组,31例)和经尿道电切加羟基喜树碱膀胱灌注组(联合组,33例),随访1～2年,比较两组有效率、复发情况、不良反应及并发症的发生.结果:联合组有效率明显高于灌注组,复发率更低,复发时间推迟;两组均有部分患者出现不良反应,但无统计学意义.结论:经尿道电切加羟基喜树碱膀胱灌注治疗腺性膀胱炎优于单纯行羟基喜树碱膀胱灌注.%Objective:To investigate the clinical effect of bipolar plasmakinetic transurethral electroresection combined with HCPT intravesical irrigation in the treatment of cystitis glandularis. Methods: Sixty - four patients with cystitis glandularis were randomly divided into two groups, 31 patients received intravesical irrigation with HCPT, and 33 patients were treated with bipolar plasmakinetic transurethral resection and bladder instillation of HCPT. All patients were followed up for 1 to 2 years and the cure rates, recurrence rates, incidences of adverse reactions and complications of cystitis glandularis were observed. Results: Compared with HCPT intravesical irrigation, tranurethral resection combined with HCPT intravesical irrigation significantly increased cure rates, decreased recurrence rates of cystitis glandularis and delayed the first recurrence times. No statistical difference of the incidences of adverse reactions was observed in both two groups. Conclusion:Bipolar plasmakinetic tranurethral resection combined with intravesical irrigation of HCPT results in better clinical outcome in treating cystitis glandularis.
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