肌层浸润性膀胱癌根治性手术治疗进展  

Research progress of radical surgical treatment of muscle invasive bladder cancer.

作　　者：张雪(综述) 曾冬阳[2] 许思怡[3] 周邦奋 符津山(审校) ZHANG Xue;ZENG Dong-yang;XU Si-yi;ZHOU Bang-fen;FU Jin-shan(Graduate School,Hainan Medical College,Haikou 571199,Hainan,CHINA;School of Nursing,Hainan Medical College,Haikou 571199,Haikou,CHINA;Department of Urology,the First Affiliated Hospital of Hainan Medical College,Haikou 570102,Hainan,CHINA)

机构地区：[1]海南医学院研究生院,海南海口571199 [2]海南医学院国际护理学院,海南海口571199 [3]海南医学院第一附属医院泌尿外科,海南海口570102

出　　处：《海南医学》2021年第3期368-371,共4页Hainan Medical Journal

摘　　要：目前,肌层浸润性膀胱癌的治疗方案主要是根治性膀胱切除、盆腔淋巴结清扫及尿流改道重建,但术后出现局部复发、远处转移风险较高,除此之外还要对新膀胱进行功能训练,新辅助化疗在一定程度上可提高患者生存率,复发率降低。本文对肌层浸润性膀胱癌根治性手术不同的治疗方法进行综述。At present,the main treatment options for muscle invasive bladder cancer are radical cystectomy,pelvic lymph nodes dissection and urinary diversion reconstruction.However,the risk of local recurrence and distant metastasis are higher after surgery.In addition,the new bladder needs to do functional training.To a certain extent,neoadjuvant chemotherapy can improve the survival rate and reduce the recurrence rate.This article reviews the different treatment methods of radical surgery for muscular invasive bladder cancer.

关 键 词：肌层浸润性膀胱癌 根治性膀胱切除 尿流改道 放疗 化疗 

分 类 号：R737.14[医药卫生—肿瘤]