Clinical character of cystitis glandularis accompanied with upper urinary tract obstruction
Clinical character of cystitis glandularis accompanied with upper urinary tract obstruction
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DOI：
10.5489/cuaj.359
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发表时间：
2013-11-01
影响因子：
1.9
通讯作者：
Zhng, Binghui
中科院分区：
文献类型：
--
作者：
Li, Aihua;Liu, Sikuan;Zhng, Binghui
目的：探讨腺性膀胱炎合并上尿路梗阻的临床特点。方法：将70例腺性膀胱炎合并上尿路梗阻与60例无上尿路梗阻的腺性膀胱炎进行比较。观察两组患者临床表现及手术疗效的差异。结果：女性腺性膀胱炎的发病率高于男性，且腺性膀胱炎合并上尿路梗阻患者的年龄小于无上尿路梗阻患者的年龄。腺性膀胱炎合并上尿路梗阻的主要症状为肾绞痛和腹痛；少数病程较短的患者还出现恶心、呕吐、尿频、尿急、排尿困难、血尿和发热。两组患者膀胱及尿培养中病变的分布及形态特征无明显差异。上尿路梗阻患者无第二次手术，但无上尿路梗阻患者至少有9.3%进行了第二次手术。结论：上尿路梗阻是腺性膀胱炎的主要临床症状。识别和清除上尿路梗阻的原因是最重要的处理方法。对于腺性膀胱炎，应积极治疗或密切随访。
Objective: We explore the clinical character of cystitis glandularis accompanied with upper urinary tract obstruction.Methods: We compared 70 cases of cystitis glandularis accompanied with upper urinary tract obstruction with 60 cases of cystitis glandularis without upper urinary tract obstruction. The difference of clinical manifestation and surgical efficacy was observed between the 2 groups.Results: The incidence of cystitis glandularis in women was higher than in men and the age of patients with cystitis glandularis and upper urinary tract obstruction was younger than the age of patients without upper urinary tract obstruction. The main symptom of cystitis glandularis accompanied with upper urinary tract obstruction were renal colic and abdominal pain; a few patients with a shorter course of the disease also had nausea, vomiting, frequency, urgency, dysuria, hematuria and fever. The distribution and morphological characteristics of lesions on the bladder and in the urine culture were not different between the 2 groups. There was no second operation on patients with upper urinary tract obstruction, but at least a second operation was performed on 9.3% patients without upper urinary tract obstruction.Conclusions: In patients with upper urinary tract obstruction, we found that it was the main clinical symptom of their cystitis glandularis. Identifying and removing the causes of upper urinary tract obstruction is the most important management method. For the cystitis glandularis, active treatment or close follow-up should be made.