奇美醫院8年經驗: K他命膀胱炎之臨床表現和治療
林才揚、蘇家震、劉建良、黃冠華1、沈坤宏
奇美醫學中心 外科部 泌尿外科，1泌尿腫瘤科
Clinical findings and Treatment of Ketamine cystitis: 8 years experience of Chimei Medical Center
Chye-Yang Lim, Chia-Cheng Su, Chien-Liang Liu, Steven K. Huang1, Kun-Hung Shen
Division of Urology, Department of Surgery, 1Division of Uro-Oncology
Chi Mei Medical Center
Abstract
Purpose:
To evaluate the clinical presentations of Ketamine cystitis and efficacy of related treatment.
Patients & Methods:
We retrospectively analyzed the clinical presentations among the 20 ketamine abusers who visited our out-patient department of Chi Mei Medical Center from January 2007 to December 2014. The clinical symptoms, laboratory results, cystoscopy findings & managements were all analyzed.
Results:
All the patient included aged between 20-40 years. Most of them had moderate to severe lower urinary tract symptoms such as frequency, urgency, dysuria, urge incontinence & bladder pain. The severity of lower urinary tract symptoms parallel to the duration of Ketamine abuse. Various degree of interstitial cystitis under the documentation of cystoscopic examination. Nearly almost the patients were treated with hydrodilatation & intravesical hyaluronic acid instillation. However, the symptoms were significant improved in those abstinence from Ketamine.
Conclusions:
Longer the duration of Ketamine abuse, the lower urinary tract symptoms became more prominent. Surgical intervention act as an adjuvant to symptoms relief, total cessation from Ketamine is more effective.