结直肠癌累及膀胱18例诊治体会  

CLINICAL EXPERIENCE IN DIAGNOSIS AND TREATMENT OF 18 PATIENTS WITH COLORECTAL CARCINOMA INVADING THE URINARY BLADDER

作　　者：倪晓辰[1] 赵志红[1] 张爱莉[1] 田建华[1] 张伟[1] 

机构地区：[1]河北医科大学第四医院泌尿外科,河北石家庄050011

出　　处：《河北医科大学学报》2007年第2期100-101,共2页Journal of Hebei Medical University

摘　　要：目的探讨结直肠癌累及膀胱的临床特点并提高其诊治水平。方法回顾分析1996年1月～2005年12月收治的18例结直肠癌累及膀胱的临床资料。结果本组结直肠癌累及膀胱18例,伴肉眼血尿3例,均行膀胱部分切除术,术后经病理证实肿瘤侵犯膀胱5例,炎性增生13例。术后随访5个月～9年,9例死于肿瘤复发或转移,7例无瘤生存或死于非肿瘤疾病,2例失访。结论结直肠癌累及膀胱少见,手术应一并整块切除受累膀胱组织,可以延长生存期。Objective To study the clinical characters of the colorectal carcinoma invading the urinary bladder and improve the diagnosis and treatment. Methods To study retrospectively 18 patients with colorectal carcinoma invading the bladder from January 1996 to December 2005. Results Among the 18 patients with colorectal carcinoma invading the bladder, 3 patients were with gross hematuria. All patients underwent partial cystectomy. The postoperative pathology confirmed that 5 patients were with colorectal carcinoma invasion, 13 patients were with recurrence or metastasis, 7 patients gained tumor free survival or died with nontumorous diseases, 2 patients losted. Conclusion The colorectal carcinoma invading the urinary bladder is rare clinically and the invaded urinary bladder tissue must be wholly resected during the operation, which can prolong the survival time of patients with colorectal carcinoma.

关 键 词：结直肠肿瘤 膀胱 治疗 

分 类 号：R735.3[医药卫生—肿瘤]