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腺性膀胱炎临床诊断和治疗中国专家共识

2020-08-25 中华医学会泌尿外科学分会 中华泌尿外科杂志.2020.2020,41(8):566-568.

膀胱炎

正常膀胱黏膜被覆尿路上皮。腺性膀胱炎(cystitis glandularis，CG)属于膀胱黏膜化生性病变，自1899年由Stoerk首次报道

中文标题：

腺性膀胱炎临床诊断和治疗中国专家共识

发布机构：

中华医学会泌尿外科学分会

发布日期：

2020-08-25

简要介绍：

正常膀胱黏膜被覆尿路上皮。腺性膀胱炎(cystitis glandularis，CG)属于膀胱黏膜化生性病变，自1899年由Stoerk首次报道[1]，至今已有120多年的历史。长期以来，由于对CG的分型、流行病学状态及其与膀胱腺癌关系的认识不全面，导致有学者将所有类型的CG均视为癌前病变，因而在临床治疗上，目前仍有很多医生对所有病理报告为CG的患者无差别地进行电切、电灼及化疗药灌注等类似于膀胱肿瘤的外科治疗。然而，较多研究结果表明，虽然CG的发生率很高，但转化成膀胱腺癌的发生率极低，说明大部分CG是不会恶变为腺癌的。因此，将所有CG均视为癌前病变进行外科干预必然存在过度治疗之嫌，不仅消耗大量医疗资源，也会给患者带来不必要的身体创伤和精神压力。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=2131217, encodeId=f7cf213121e8c, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/18/746d2af7eef34775c366eb09b720f6d2.jpg, createdBy=88032117766, createdName=小小硕, createdTime=Tue May 09 20:23:33 CST 2023, time=2023-05-09, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=1186474, encodeId=aff311864e4f8, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fb9e5201688, createdName=1473e499m15暂无昵称, createdTime=Thu Jan 20 15:59:42 CST 2022, time=2022-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1071791, encodeId=5dad10e1791cb, content=受教, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211106/eff2701c55044454b907e0b6cd46dc26/8c544e2d66f743f8b6b68a7f6698c5c5.jpg, createdBy=98955695144, createdName=午夜星河, createdTime=Fri Nov 19 15:56:49 CST 2021, time=2021-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1052140, encodeId=d09d1052140ac, content=学习下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=46522434690, createdName=123c3b29m95暂无昵称, createdTime=Thu Sep 16 23:10:48 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=978561, encodeId=11f09e856147, content=为了下载，太累了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/06/04/e2cfec24d94a4586697798d9bfb63360.jpg, createdBy=43d85113563, createdName=马里马里奥, createdTime=Thu Jul 01 10:57:51 CST 2021, time=2021-07-01, status=1, ipAttribution=)]
    2023-05-09 小小硕 来自广东省

    学习学习

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2131217, encodeId=f7cf213121e8c, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/18/746d2af7eef34775c366eb09b720f6d2.jpg, createdBy=88032117766, createdName=小小硕, createdTime=Tue May 09 20:23:33 CST 2023, time=2023-05-09, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=1186474, encodeId=aff311864e4f8, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fb9e5201688, createdName=1473e499m15暂无昵称, createdTime=Thu Jan 20 15:59:42 CST 2022, time=2022-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1071791, encodeId=5dad10e1791cb, content=受教, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211106/eff2701c55044454b907e0b6cd46dc26/8c544e2d66f743f8b6b68a7f6698c5c5.jpg, createdBy=98955695144, createdName=午夜星河, createdTime=Fri Nov 19 15:56:49 CST 2021, time=2021-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1052140, encodeId=d09d1052140ac, content=学习下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=46522434690, createdName=123c3b29m95暂无昵称, createdTime=Thu Sep 16 23:10:48 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=978561, encodeId=11f09e856147, content=为了下载，太累了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/06/04/e2cfec24d94a4586697798d9bfb63360.jpg, createdBy=43d85113563, createdName=马里马里奥, createdTime=Thu Jul 01 10:57:51 CST 2021, time=2021-07-01, status=1, ipAttribution=)]
    2022-01-20 1473e499m15暂无昵称

    学习学习

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2131217, encodeId=f7cf213121e8c, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/18/746d2af7eef34775c366eb09b720f6d2.jpg, createdBy=88032117766, createdName=小小硕, createdTime=Tue May 09 20:23:33 CST 2023, time=2023-05-09, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=1186474, encodeId=aff311864e4f8, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fb9e5201688, createdName=1473e499m15暂无昵称, createdTime=Thu Jan 20 15:59:42 CST 2022, time=2022-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1071791, encodeId=5dad10e1791cb, content=受教, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211106/eff2701c55044454b907e0b6cd46dc26/8c544e2d66f743f8b6b68a7f6698c5c5.jpg, createdBy=98955695144, createdName=午夜星河, createdTime=Fri Nov 19 15:56:49 CST 2021, time=2021-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1052140, encodeId=d09d1052140ac, content=学习下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=46522434690, createdName=123c3b29m95暂无昵称, createdTime=Thu Sep 16 23:10:48 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=978561, encodeId=11f09e856147, content=为了下载，太累了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/06/04/e2cfec24d94a4586697798d9bfb63360.jpg, createdBy=43d85113563, createdName=马里马里奥, createdTime=Thu Jul 01 10:57:51 CST 2021, time=2021-07-01, status=1, ipAttribution=)]
    2021-11-19 午夜星河

    受教

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2131217, encodeId=f7cf213121e8c, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/18/746d2af7eef34775c366eb09b720f6d2.jpg, createdBy=88032117766, createdName=小小硕, createdTime=Tue May 09 20:23:33 CST 2023, time=2023-05-09, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=1186474, encodeId=aff311864e4f8, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fb9e5201688, createdName=1473e499m15暂无昵称, createdTime=Thu Jan 20 15:59:42 CST 2022, time=2022-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1071791, encodeId=5dad10e1791cb, content=受教, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211106/eff2701c55044454b907e0b6cd46dc26/8c544e2d66f743f8b6b68a7f6698c5c5.jpg, createdBy=98955695144, createdName=午夜星河, createdTime=Fri Nov 19 15:56:49 CST 2021, time=2021-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1052140, encodeId=d09d1052140ac, content=学习下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=46522434690, createdName=123c3b29m95暂无昵称, createdTime=Thu Sep 16 23:10:48 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=978561, encodeId=11f09e856147, content=为了下载，太累了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/06/04/e2cfec24d94a4586697798d9bfb63360.jpg, createdBy=43d85113563, createdName=马里马里奥, createdTime=Thu Jul 01 10:57:51 CST 2021, time=2021-07-01, status=1, ipAttribution=)]
    2021-09-16 123c3b29m95暂无昵称

    学习下载

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2131217, encodeId=f7cf213121e8c, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/08/18/746d2af7eef34775c366eb09b720f6d2.jpg, createdBy=88032117766, createdName=小小硕, createdTime=Tue May 09 20:23:33 CST 2023, time=2023-05-09, status=1, ipAttribution=广东省), GetPortalCommentsPageByObjectIdResponse(id=1186474, encodeId=aff311864e4f8, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fb9e5201688, createdName=1473e499m15暂无昵称, createdTime=Thu Jan 20 15:59:42 CST 2022, time=2022-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1071791, encodeId=5dad10e1791cb, content=受教, beContent=null, objectType=guider, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211106/eff2701c55044454b907e0b6cd46dc26/8c544e2d66f743f8b6b68a7f6698c5c5.jpg, createdBy=98955695144, createdName=午夜星河, createdTime=Fri Nov 19 15:56:49 CST 2021, time=2021-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1052140, encodeId=d09d1052140ac, content=学习下载, beContent=null, objectType=guider, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=46522434690, createdName=123c3b29m95暂无昵称, createdTime=Thu Sep 16 23:10:48 CST 2021, time=2021-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=978561, encodeId=11f09e856147, content=为了下载，太累了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/06/04/e2cfec24d94a4586697798d9bfb63360.jpg, createdBy=43d85113563, createdName=马里马里奥, createdTime=Thu Jul 01 10:57:51 CST 2021, time=2021-07-01, status=1, ipAttribution=)]
    2021-07-01 马里马里奥

    为了下载，太累了

    0

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