摘要
目的 评价全膀胱切除治疗膀胱肿瘤的疗效及回肠膀胱术的远期效果。方法 回顾性分析1995年1月～2005年1月膀胱肿瘤行腹膜外全膀胱切除术48例的临床资料。结果 膀胱肿瘤累及膀胱颈部或膀胱三角区者39例（81．3％），膀胱内广泛多发9例（18．7％）。浸润性膀胱癌32例（66．7％），浅表性膀胱癌16例（33．3％）。术后发生近期并发症5例（10．4％），远期并发症3例（6．2％）。39例随访1～10年，平均6．8年，5年生存率68．8％。结论 全膀胱切除是浸润性膀胱癌首选治疗方法。腹膜外切除膀胱可减少腹腔被肿瘤污染，避免肠管进入盆腔而影响手术操作。回肠膀胱术简单易行，长期随访显示其并发症少，疗效确切，仍是一种较为理想的尿流改道方式。
Objective To evaluate the long-term efficacy of extraperitoneal radical cystectomy and ileal conduit in the treatment of bladder cancer. Methods 48cases of bladder tumor treated from Jan. 1995 to Jan. 2005 with extraperitoneal radical cystectomy and ileal conduit for urinary diversion were studied retrospectively. Results Bladder neck or trigone was involved by the neoplasma in 39（81.3% ）, infiltrative carcinoma of bladder 32（66. 7% ） ,16 of the tumor were superficiality carcinoma（ 33. 3% ）. Early operative complication occurred in 5 （ 10. 4% ） and late complication in 3（6. 2% ）. On following-up for 1 to 10 years with a mean of 6. 8 years, the 5-year survival rote has been 68.8%. Conclusions Radical cystectomy is the optimal in treating invasive bladder tumor and ileal conduit is a good means of urinary diversion which is simple with minimal complications. Extraperitoneal cystectomy prevent the abdomen from tumor contamination and protect the operative field from intestine interference.
出处
《现代医院》
2006年第7期47-48,共2页
Modern Hospitals
关键词
膀胱肿瘤
腹膜外全膀胱切除
尿流改道术
Bladder neoplasms, Extraperitoneal radical cystectomy
Urinary diversion
