上尿路移行细胞癌术后再发膀胱癌  

A retrospectic study on recurrent bladder carcinoma after resection of upper urinary tract transitional cell carcinoma

作　　者：孙浩[1] 马克钧[1] 秦剑影[1] 潘鹏[1] 唐爱国[1] 徐强[1] 蒋国波[1] 

机构地区：[1]镇江医学院附属医院泌尿外科,江苏镇江212001

出　　处：《东南大学学报（医学版）》2001年第4期262-263,共2页Journal of Southeast University(Medical Science Edition)

摘　　要：目的 :探讨上尿路移行细胞癌术后再发膀胱癌的特点。方法 :对 98例上尿路移行细胞癌中术后再发膀胱癌2 4例进行临床回顾性分析。结果 :上尿路移行细胞癌行肾输尿管膀胱袖状切除术后膀胱癌再发率低于肾输尿管切除者 ,两组比较差异有极显著性意义 (P <0 .0 1) ;上尿路移行细胞癌合并膀胱癌、肿瘤恶性程度高及输尿管下段癌其术后膀胱癌的再发率高 ,再发时间多在术后 3年以内。结论 :肾输尿管膀胱袖状切除术是上尿路移行细胞癌最有效的治疗方法 。Objective To study the recurrent bladder carcinoma after resection of upper urinary tract transitional cell carcinoma.Method 24 cases of recurrent bladder carcinoma out of 98 cases of postoperative upper urinary tract carcinoma were analyzed.Results The postoperative recurreut rate of bladder carcinoma with total nephroureterectomy combined with excision of bladder cuff was lower than that of nephroureterectomy( P <0.01);In the cases of upper urinary tract carcinoma associated with bladder carcinoma,higher grade malignancy and lower ureter carcinoma the recurrence rate was higher and usually occurred within 3 years.Conclusions The most effective treatment is total nephroureterectomy combined with excision of bladder cuff, periodic cystoscopy and vesical instillation of anticancer drug is necessary.

关 键 词：上尿路 移行细胞癌 膀胱癌 

分 类 号：R737.11[医药卫生—肿瘤]