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作 者:毕建斌[1] 任玉鹏[1] 刘同才[1] 张铭铮[1] 孔垂泽[1] 王平[1]
机构地区:[1]中国医科大学第一附属医院泌尿外科
出 处:《中华泌尿外科杂志》1998年第3期142-144,共3页Chinese Journal of Urology
摘 要:报告自1982年11月~1997年4月收治的膀胱平滑肌瘤10例。女8例,男2例。临床有膀胱刺激症状5例,下腹痛3例,血尿3例,排尿障碍2例,下腹包块1例,阴道肿块1例,无症状1例。肿瘤位于膀胱顶部4例,颈部3例,底部2例,前壁1例。临床分型:粘膜下型4例,壁间型及浆膜下型各3例。膀胱镜、B超及CT是主要的术前诊断手段。7例行膀胱部分切除术,3例行肿瘤剜除术,手术效果满意,预后良好,均无复发。10 cases of leiomyoma of the urinary bladder were reported including 2 male and 8 female patients. The presenting symptom was bladder irritation in 5 cases, abdominal pain in 3 cases, abdominal mass in 1 cases or vaginal mass in 1 cases. One of the 10 was asymptomatic. The tumor was located at the bladder dome in 4 cases, at the bladder neck in 3 cases, at fundus in 2 cases and at the anterior wall in 1 cases. The tumor was submucosal in 4 cases, intramucosal and extravesical in 3 each. The preoperative diagnosis was usualy established on cystoscopy, ultrasonography and CT scanning. Partial cystectomy was carried out in 7 cases and enucleation of the tumor in the other 3 cases. The prognosis has been excellent with no recurrence ever noted.
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