膀胱内翻型乳头状瘤69例诊疗分析  

Diagnosis and treatment of inverted papilloma of the bladder(Reports of 69 cases)

作　　者：王新光 王少刚[1] 杜广辉[1] 庄乾元[1] 陆金金 陈璐[1] 刘海浪 杨为民[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院泌尿外科,武汉430030

出　　处：《临床外科杂志》2017年第11期864-866,共3页Journal of Clinical Surgery

摘　　要：目的探讨膀胱内翻型乳头状瘤的临床特点及病理学特征。方法分析69例膀胱内翻型乳头状瘤病人的临床资料包括病因、病理学特征、临床表现、影像学检查、治疗方式及预后状况。结果 69例病人中大多数因血尿(59.4%)就诊,肿瘤最常发生于膀胱颈及三角区(49.3%)。病人术前均接受影像学检查(B超、CT、MRI、膀胱镜),但最终依靠病理检查确诊。全部病人均接受经尿道膀胱肿瘤电切术。结论膀胱内翻型乳头状瘤是一种少见的膀胱良性肿瘤,术前诊断困难,主要依靠术后病理检查确诊。治疗首选经尿道膀胱肿瘤电切术,术后肿瘤复发及进展可能性小,预后良好,但需术后4~5年内随访监测。Objective To analyze the clinical and pathological features of inverted papilloma of the bladder and to improve its diagnosis and treatment.Methods The clinical data were retrospectively analyzed,including pathogenesis,pathological features,clinical manifestation,imageological examinations,treatment and prognosis of 69 patients who were treated in Tongji Hospital from January 2001 to December2015.Results Most of the patients were hospitalized due to hematuresis（59.4%） and the tumor most occurred in the bladder neck and triangle（49.3%）.Pre-operation examinations（B ultrasound,CT,MRI,Cystoscope） were performed in addition to pathological ones to make a definite diagnosis.All patients received transurethral resection of bladder tumor（TURBT）.Conclusion Inverted papilloma of the bladder is a kind of rare benign tumor.It is difficult to be confirmed before operation but mainly depending on pathological examination post operation.Transurethral resection of bladder tumor is the priority selection for its treatment.The possibility of its recurrence and advance is limited,but it is necessary to carry out surveillance with 4 to 5 years after operation though its prognosis is good.

关 键 词：膀胱内翻型乳头状瘤 经尿道膀胱肿瘤电切术 腺型 

分 类 号：R737.14[医药卫生—肿瘤]