分析间质性膀胱炎的手术治疗和药物治疗效果.docVIP

精品论文 参考文献 分析间质性膀胱炎的手术治疗和药物治疗效果 南华大学附属第二医院 湖南衡阳 421001 【摘 要】目的 探讨分析间质性膀胱炎的手术治疗和药物治疗效果，选择最佳治疗方案，加快患者康复进程。方法随机选取我院2012年9月至2014年6月收治的52例间质性膀胱炎病例，分成对照组和观察组，每组26例，对照组给予药物灌注治疗，观察组给予手术治疗。分析不同治疗方式的临床效果。结果观察组显效10例，有效14例，无效2例，总有效率为92.3%；对照组显效7例，有效，11例，无效8例，总有效率69.2%。观察组的治疗效果明显优于对照组，组间差异有显著统计学意义（Plt;0.05）。治疗前两组ICSI评分组间无显著差异（Pgt;0.05），治疗后组间差异显著（Plt;0.05）。结论 药物治疗有其自身的优点但仅适用于早期患者；如患者的下尿路症状又因为膀胱挛缩而变得十分严重时，可以考虑???外科手术治疗。 【关键词】间质性膀胱炎；手术治疗；药物治疗 Abstract：Objective To investigate the surgical treatment and the effect of drug treatment for the treatment of interstitial cystitis，choose the best treatment plan，and speed up the rehabilitation process.Methods from June 2014 to September 2012，52 cases of interstitial cystitis were randomly selected from our hospital，divided into control group and observation group，26 cases in each group，the control group was treated with drug infusion，the observation group was treated with surgical treatment.The clinical effects of different treatment methods are analyzed.Results in the observation group，10 cases were markedly effective，14 cases were effective，2 cases were ineffective，the total effective rate was 92.3%，the control group was 7 cases，11 cases were effective，8 cases were invalid，the total effective rate was 69.2%.The effect of the observation group was better than the control group，the difference was statistically significant（Plt;0.05）.There was no significant difference（ICSI）between the two groups before treatment（Pgt;0.05），and the difference was significant（Plt;0.05）between the two groups.Conclusion drug therapy has its own advantages，but it can only be used in the early stage，such as patients with lower urinary tract symptoms and the bladder contracture and become very serious，it can be considered for surgical treatment. [Keywords]：interstitial cystitis；surgical treatment；drug therapy 间质性膀胱炎（IC）是一种慢性非细菌性膀胱炎症，以尿频、尿急、夜尿和（或）盆腔疼痛为主要临床表现，尿培养无细菌生长。许多患者即使没有问质性膀胱炎的膀胱镜下典型变化，但其膀胱疼痛仍可能来自于膀胱壁的病变。近期研究提示，慢性无菌性前列腺炎、前列腺痛和慢性盆腔疼痛综合征可能是IC的不同形式。由