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本文复习了文献,并对52例间质性膀胱炎作了分析研究。如果尿道下方有持续性的刺激症状,尿反复培养均无细菌,尿的细胞学检查阴性,必须考虑该病人有间质性膀胱炎。在麻醉条件下,施行膀胱镜检查前,对这种病人的尿道症状作出诊断,是相当困难的。膀胱第二次扩张时,发现多发性瘀点样出血(密集成球状),这是间质性膀胱炎的标志。膀胱容量的减少,抗纳氏溃疡的出现,表示着本病不同的典型发展阶段。在所有各期中,典型的组织学所见就是粘膜下水肿和血管扩张。嗜伊红细胞和肥大细胞的出现并不稳定。甚至,于典型病例,其肌层往往看来是正常的。免疫荧光法检查和化验检查,包括抗核抗体荧光试验,都
This article reviewed the literature, and 52 cases of interstitial cystitis were analyzed. If there is persistent irritation below the urethra, urine is not repeatedly cultured bacteria, urine cytology negative, we must consider the patient with interstitial cystitis. Under anesthesia, it is quite difficult to diagnose the urethral symptoms of this patient before the cystoscopy is performed. Bladder secondary expansion, found that multiple petechial hemorrhage (dense into the ball), which is a sign of interstitial cystitis. The reduction of bladder capacity, the emergence of anti-Nashi ulcer, indicating the different stages of the typical development of this disease. In all stages typical histologic findings are submucosal edema and vasodilation. The appearance of eosinophils and mast cells is not stable. Even in the typical case, the muscularis tend to look normal. Immunofluorescence and laboratory tests, including anti-nuclear antibody fluorescence test, are