膀胱肿瘤的诊断和治疗  

Clinical analysis for 406 patients with bladder carcinoma

作　　者：郁华亮[1] 叶林阳[1] 林茂虎[1] 杨渝[1] 朱晓应[1] 马晗[1] 吴元翼[1] 

机构地区：[1]解放军总医院304临床部泌尿外科,北京100037

出　　处：《军医进修学院学报》2008年第3期209-210,共2页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的：探讨膀胱肿瘤的治疗方法。方法：回顾性分析膀胱肿瘤406例，B超、CT及膀胱镜检查诊断膀胱肿瘤的阳性率分别为90.6％、81．0％、98.7％。其中经尿道膀胱肿瘤电切术287例，膀胱部分切除术40例，根治性膀胱切除术73例。结果：355例随访时间1～8年，无瘤生存235例，复发93例，死亡26例，T4期带瘤生存1例。随访患者总生存率92．6％。结论：对T1、T2a期患者采取保留膀胱手术是安全的，对T2b、T3期患者应采取根治性膀胱切除术。Objective：To explore the treatment of bladder carcinoma. Methods： 406 patients with bladder carcinoma were retrospectively analyzed. The positive rate of diagnosis was 90.6% by ultrasound B. and the positive rate of diagnosis was 98.7% by cystoscopy. Among all patients, 287cases were treated by transurethral resection, 40 cases were treated by partial cystectomy, and 73cases were treated by radical cystectomy. Results： 355 patients had been followed up for 1～8 years, 235 patients were free of disease, recurrence occurred in 93 patients. 26 patients died. 1 patients with stage T4 tumor were survived. The total survived rate was 92.6%. Conclusions： For stage T1 and T2a tumors, it is safe by transurethral resection or partial cystectomy. Radical cystectomy is necessary for stage T2b and T3 tumors.

关 键 词：膀胱肿瘤 膀胱切除术 

分 类 号：R737.14[医药卫生—肿瘤]