膀胱肿瘤的诊断和治疗

Clinical analysis for 406 patients with bladder carcinoma

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、T2 a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。

Abstract: 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.