目的:总结膀胱非上皮性肿瘤的临床表现及诊治流程,探讨其治疗方法与预后。方法:回顾性分析2018年1月至2022年3月就诊于青岛大学附属医院并确诊为膀胱非上皮性肿瘤的14例患者的临床资料。其中,男9例,女5例。年龄35~72岁。首发症状为无痛...目的:总结膀胱非上皮性肿瘤的临床表现及诊治流程,探讨其治疗方法与预后。方法:回顾性分析2018年1月至2022年3月就诊于青岛大学附属医院并确诊为膀胱非上皮性肿瘤的14例患者的临床资料。其中,男9例,女5例。年龄35~72岁。首发症状为无痛性肉眼血尿3例,膀胱刺激征伴排尿困难3例,肉眼血尿伴膀胱刺激征1例,尿频1例,腰痛1例,无症状者5例。超声检查发现膀胱内占位病变12例,肿物凸向腔外2例,CT发现盆腔内多发肿大淋巴结2例(病理均证实为恶性肿瘤)。结果:良性肿瘤6例,均行经尿道膀胱肿瘤电切术(Transurethral Resection of Bladder Tumor, TURBT),4例于TURBT后行膀胱部分切除术(Partly Cystectomy, PC);恶性肿瘤8例,均行TURBT,其中1例于术后辅以BR方案化疗,2例于术后行RC,1例于术后行膀胱旷置 + 输尿管皮肤造口,1例于术后1月进展至多发骨转移、肺转移。14例患者存活至今。结论:膀胱非上皮性肿瘤发病率低,病理类型复杂,外科手术治疗是其主要处理方式,良性肿瘤预后良好,但仍有复发风险,恶性肿瘤应结合其病理特点进行辅助放疗、化疗等治疗。Objective: To summarize the clinical manifestations and diagnostic and treatment processes of non-epithelial tumors of the bladder, and to explore their treatment methods and prognosis. Methods: The clinical data of 14 patients who attended the Affiliated Hospital of Qingdao University from January 2018 to March 2022 and were diagnosed with non-epithelial tumor of the bladder were retrospectively analyzed. Among them, 9 cases were male and 5 cases were female. The age range from 35~72 years old. The first symptoms were painless hematuria in 3 cases, bladder irrita-tion with dysuria in 3 cases, hematuria with bladder irritation in 1 case, urinary frequency in 1 case, lumbago in 1 case, and asymptomatic in 5 cases. Ultrasonography found intravesical space- occupy-ing lesions in 12 cases, swelling projecting out of the cavity i展开更多
文摘目的:总结膀胱非上皮性肿瘤的临床表现及诊治流程,探讨其治疗方法与预后。方法:回顾性分析2018年1月至2022年3月就诊于青岛大学附属医院并确诊为膀胱非上皮性肿瘤的14例患者的临床资料。其中,男9例,女5例。年龄35~72岁。首发症状为无痛性肉眼血尿3例,膀胱刺激征伴排尿困难3例,肉眼血尿伴膀胱刺激征1例,尿频1例,腰痛1例,无症状者5例。超声检查发现膀胱内占位病变12例,肿物凸向腔外2例,CT发现盆腔内多发肿大淋巴结2例(病理均证实为恶性肿瘤)。结果:良性肿瘤6例,均行经尿道膀胱肿瘤电切术(Transurethral Resection of Bladder Tumor, TURBT),4例于TURBT后行膀胱部分切除术(Partly Cystectomy, PC);恶性肿瘤8例,均行TURBT,其中1例于术后辅以BR方案化疗,2例于术后行RC,1例于术后行膀胱旷置 + 输尿管皮肤造口,1例于术后1月进展至多发骨转移、肺转移。14例患者存活至今。结论:膀胱非上皮性肿瘤发病率低,病理类型复杂,外科手术治疗是其主要处理方式,良性肿瘤预后良好,但仍有复发风险,恶性肿瘤应结合其病理特点进行辅助放疗、化疗等治疗。Objective: To summarize the clinical manifestations and diagnostic and treatment processes of non-epithelial tumors of the bladder, and to explore their treatment methods and prognosis. Methods: The clinical data of 14 patients who attended the Affiliated Hospital of Qingdao University from January 2018 to March 2022 and were diagnosed with non-epithelial tumor of the bladder were retrospectively analyzed. Among them, 9 cases were male and 5 cases were female. The age range from 35~72 years old. The first symptoms were painless hematuria in 3 cases, bladder irrita-tion with dysuria in 3 cases, hematuria with bladder irritation in 1 case, urinary frequency in 1 case, lumbago in 1 case, and asymptomatic in 5 cases. Ultrasonography found intravesical space- occupy-ing lesions in 12 cases, swelling projecting out of the cavity i
