摘要
目的探讨保留前列腺的根治性膀胱切除术治疗肌层浸润性膀胱癌的适应症.方法收集2013年5月至2014年12月,在昆明医科大学第二附属医院接受根治性膀胱切除术的99例男性肌层浸润性膀胱癌患者的病理资料.对术后的膀胱、前列腺标本进行系统病理切片检查,并对膀胱癌侵犯前列腺的危险因素进行统计分析.结果 99例肌层浸润性膀胱癌患者中,13例前列腺侵犯.统计分析发现膀胱肿瘤部位、膀胱颈部切缘、肿瘤分级、肿瘤分期、淋巴阳性等指标有统计学意义(P<0.05),而年龄、肿瘤大小、肿瘤数目则无统计学意义(P>0.05).结论保留前列腺的根治性膀胱切除术适用于50岁以下有保留性功能意愿的T3期以下无淋巴结转移且肿瘤未侵犯前列腺的患者.
Objective To investigate the prostate-sparing cysteetomy indications for the treatment of muscular invasive bladder cancer. Methods Ninety-nine male patients with muscular invasive bladder cancer were underwent radical eysteetomy in the second affiliated hospital of Kunming Medical University from May 2013 to December 2014. The specimens after radical cystectomy including bladder and prostate were performed pathological examination. Statistical analysis was carried out on the bladder invasion risk factors for prostate. Results 13 cases were encroached into the prostate in 99 cases. The statistical analysis showed that position of tumor, positive surgical margins of the neck, grade, stage, and lymphatic metastasis were significantly related to the prostatic involvement （P 〈 0.05） , while the age, maximum diameter of tumor, and number of tumors were not significantly related to the prostatic involvement （P 〉 0.05） Conclusion Prostate-sparing cystectomy could be used to the younger patients who wish to preserve sexual function, and less than 50 years old and under T3 stage without lymph nodes metastasis and prostate invasion.
出处
《昆明医科大学学报》
CAS
2015年第12期104-106,共3页
Journal of Kunming Medical University
基金
云南省教育厅科学研究基金资助项目(2012Z152C)
关键词
膀胱癌
前列腺侵犯
保留前列腺的根治性膀胱切除术
Bladder cancer
Prostatic involvement
Radical cystoprostatectomy
Prostate-sparingcystectomy
