王睿 王旭亮 武剑 姜树源 刘海波 张洁 付贤

    [摘要] 嗜酸性细胞膀胱炎(eosinophilic cystitis，EC)是一种临床罕见的膀胱炎症疾病，其特征是膀胱壁各层均有嗜酸性细胞浸润，可以合并肌肉坏死以及黏膜和固有肌纤维化。浙江中医药大学第四临床医学院2017年收治了1例嗜酸性膀胱炎的患者，该患者为女性，58岁，以全程肉眼血尿8 h，伴腰腹部胀痛入院，患者入院后血尿症状加剧，血红蛋白下降明显，即刻行经尿道膀胱肿瘤电切术(transurethral resection of bladder tumour，TURBt)后病理报告结果显示为嗜酸性细胞膀胱炎，术后予抗生素治疗后肉眼血尿消失，复查血红蛋白也趋于稳定，术后2年门诊随访复查血常规、尿常规无明显异常，膀胱镜检查未见黏膜充血水肿改变。目前对于该疾病的病因及发病机制尚不明确，为进一步探讨总结提高对嗜酸性膀胱炎的认识及诊治水平，现回顾分析患者的诊治经过并结合文献复习。

    [关键词] 嗜酸性细胞膀胱炎;膀胱镜;诊断;病因

    [中图分类号] R699.5? ? ? ? ? [文献标识码] C? ? ? ? ? [文章编号] 1673-9701(2022)07-0168-03

    A case of eosinophilic cystitis and literature review

    WANG Rui? ?WANG Xuliang? ?WU Jian? ?JIANG Shuyuan? ?LIU Haibo ZHANG Jie? ?FU Xian

    The Fourth Clinical College of Zhejiang Chinese Medical University， Hangzhou 310053， China

    [Abstract] Eosinophilic cystitis(EC) is a clinically rare inflammatory disease of the bladder. It is characterized by eosinophil infiltration in all layers of the bladder wall， which can be combined with muscle necrosis and mucosal and intrinsic muscle fibrosis. In 2017， a patient with eosinophilic cystitis was admitted to our hospital. The patient was a 58-year-old woman who was admitted to the hospital with gross hematuria for 8 hours and waist and abdomen pain. After admission ......