| 摘要: |
| 目的：探讨罕见膀胱软斑症的临床诊断与治疗的方法，提高临床医师对该病的认知。方法：回顾性分析我院收治的1例膀胱软斑症患者的临床资料，检索相关文献进行分析并讨论。结果：患者女性，58岁，因反复血尿2年，再发1月入院，膀胱镜检查，活检诊断为膀胱软斑症，给予抗感染治疗后，临床治愈。患者出院后定期复查尿常规、尿液细菌培养，必要时复查膀胱镜检。结论：软斑症是一种罕见的慢性肉芽肿性炎症反应，病理学诊断是金标准，尽早明确膀胱软斑症，并进行有效的抗感染或手术治疗，可以获得较好的临床效果。 |
| 关键词: 膀胱软斑症 血尿 慢性肉芽肿性炎症反应 M-G小体 |
| DOI： |
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| Malakoplakia of the urinary bladder:A Case Report and Literature Review |
|
谷陈斌
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the second people’s Hospital of Yuhang district,Hangzhou
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| Abstract: |
| Objective： To investigate the clinical diagnosis of bladder malakoplakia and treatment strategies , in order to improve clinicians' awareness of this complication.Methods:Clinical data of a patient with bladder malakoplakia was analyzed and relevant literature was reviewed.Results:A 58-year-old female was admitted with repeated hematuria for 2 years and hematuria again for 1 month and diagnosed with bladder malakoplakia.The patient was treated with antibiotic and clinically cured.After the patient is discharged from the hospital, the urine test and urine culture culture should be checked regularly, and the cystoscopy should be checked if necessary.Conclusions:Malakoplakia is a rare chronic granulomatous disease.Currently, its diagnosis relies only on pathological findings. Bladder malakoplakia as early as possible was diagnosised and treated with effective antibiotic or surgical treatment can obtain better clinical results. |
| Key words: bladder malakoplakia hematuria a chronic granulomatous disease Michaelis-Gutmann |