老年膀胱癌患者围手术期处理方法分析  

Perioperative treatment of the elderly patients with Bladder carcinoma

作　　者：白焱[1] 

机构地区：[1]北京铁路总医院泌尿外科,100038

出　　处：《中国现代医药杂志》2005年第5期14-16,共3页Modern Medicine Journal of China

摘　　要：目的探讨老年膀胱癌患者围手术期处理方法。方法回顾分析我院1986～2004年472例60岁以上膀胱癌患者外科处理的临床资料。结果术前有并存病者152例,行膀胱全切根治术139例、膀胱部分切除术182例、经尿道膀胱电切术151例;术后出现并发症32例,围手术期死亡3例,术后第1、3、5年的生存率分别为89.0%、77.5%、70.2%。结论老年膀胱癌患者最好的方法是手术切除,但早期确诊、合理的手术时机与手术方式、合理处理并发症、充分的术前准备和完善的麻醉效果是减少并发症、提高疗效的关键。Objective To explore the perioperative management of the elderly patients with Bladder carcinoma. Methods The clinical data of surgical treatment for Bladder carcinoma in 472 cases of over 60 years old from 1986 to 2004 were analyzed retrospectively. Results Preoperative 152 cases had accompanied disease, 139 cases were subjected to radical surgery, 182 to palliative resection, 151 to TUR-bt; Postoperative complications occurred in 32 cases. Three cases were perioperative dead; 1,3,5-year survival rate was 89.0%, 67.5%, 51.2% respectively. Conclusion Operative resection is an ideal way to treat the elderly patients with Bladder carcinoma.But early diagnosis, proper management of accompanied diseases, full bowel preoperation, appropriate choice of anesthesia and operation time and surgical procedures are critical to reduce complications and enhance the curative effect.

关 键 词：膀胱肿瘤 移行细胞癌 老年 手术 并发症 围手术期处理 膀胱全切 癌患者 方法分析 老年 经尿道膀胱电切术 膀胱部分切除术 合理处理 术前准备 

分 类 号：R737.14[医药卫生—肿瘤]