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目的探讨膀胱黏膜白斑临床特点及诊疗方法。方法经膀胱镜检查及病理活检确诊膀胱白斑20例,均采用经尿道等离子电切术治疗,术后辅以吡柔比星膀胱灌注治疗。结果术后患者尿路刺激、下腹不适症状明显改善,随访3个月～2年,未见复发及恶变者。结论经尿道等离子电切术联合吡柔比星膀胱灌注是治疗膀胱白斑和预防其恶变的有效方法。
Objective To investigate the clinical features and diagnosis and treatment of bladder mucosal leukoplakia. Methods 20 cases of bladder leukoplakia were diagnosed by cystoscopy and pathological biopsy. All of them were treated by transurethral resection of the plasma and intrapleural injection of pirarubicin after intravesical instillation. Results Postoperative urinary tract irritation, abdominal discomfort symptoms improved significantly, followed up for 3 months to 2 years, no recurrence and malignant transformation. Conclusion Transurethral resection combined with pirarubicin bladder irrigation is an effective method for the treatment of bladder leukoplakia and prevention of malignant transformation.