探讨男性和女性腺性膀胱炎临床特征及治疗效果的异同点。

回顾性分析联勤保障部队第九八〇医院收治的男性腺性膀胱炎患者80例，女性腺性膀胱炎患者135例，从发病年龄、病程、临床表现、膀胱镜下分型等进行比较，所有患者均行经尿道膀胱病灶电切术，对男性和女性患者术后治疗效果及复发率进行比较。

男性腺性膀胱炎患者年龄（43±9）岁，病程13.5（10.0，17.8）个月，女性腺性膀胱炎患者年龄（54±11）岁，病程7.0（4.0，12.0）个月，年龄和病程两组比较差异有统计学意义（P<0.05）。膀胱镜下分型男性患者高危型60例（75%），女性患者高危型共30例（22.2%），差异有统计学意义（P<0.05）。男性患者术后复发率36.3%（29/80），女性患者术后复发率13.3%（18/135），差异均有统计学意义（P<0.05）。

男性腺性膀胱炎较女性发病年龄小、病程长、临床表现症状重，常继发肾积水。膀胱镜下分型均以滤泡型为主，但男性患者滤泡较大，病变范围广、程度重，高危型较女性多见。男性术后复发率明显高于女性。

To explore the similarities and differences in clinical characteristics and treatment outcomes of male and female cystitis glandularis.

A retrospective analysis was conducted on 80 male and 135 female patients with cystitis glandularis admitted to the 980th Hospital of the Joint Logistics Support Force. The patients were compared in terms of age of onset, disease duration, clinical manifestations, and classification under cystoscopy. Transurethral bladder lesion resection was performed on all patients, and the postoperative treatment effects and recurrence rates were compared between male and female patients.

The age of male patients with cystitis glandularis was (43± 9) years and the duration of the disease was 13.5(10.0, 17.8) months, while the age of female patients with cystitis glandularis was (54±11) years and the duration of the disease was 7.0(4.0, 12.0) months. There was a statistically significant difference in age and duration between the two groups (P<0.05). Under cystoscopy, there were 60 cases (75%) of high-risk male patients and 30 cases (22.2%) of high-risk female patients, with a statistically significant difference (P<0.05). The postoperative recurrence rate in male patients was 36.3%(29/80), while in female patients it was 13.3%(18/135), with statistically significant differences (P<0.05).

Male cystitis glandularis has a younger onset age, longer disease course, more severe clinical symptoms, and often secondary hydronephrosis compared to females. The classification under cystoscopy is mainly follicular type, but male patients have larger follicles, wider and more severe lesions, and high-risk types are more common than females. The postoperative recurrence rate in males is significantly higher than that in females.