论文部分内容阅读
目的:探讨局限性膀胱淀粉样变病因、临床表现、影像学诊断方法、病理特征及诊疗方法。方法:回顾分析1例局限性膀胱淀粉样变患者的临床资料,总结复习相关文献。结果:患者经抗感染、止血、对症治疗,效果较好,随访7个月未复发血尿。结论:膀胱淀粉样变为少见病,主要表现为无痛性肉眼血尿,膀胱侧壁和三角区为好发部位,确诊主要依靠膀胱镜下活检,病理学检查刚果红染色后偏振光显微镜下呈现出苹果绿色双折射光。治疗以手术切除为主,术后辅以二甲基亚砜膀胱灌注,疗效及预后良好。
Objective: To investigate the etiology, clinical manifestations, imaging diagnosis, pathological features and diagnosis and treatment of localized bladder amyloidosis. Methods: A retrospective analysis of one case of localized bladder amyloidosis in patients with clinical data, review summary review of relevant literature. Results: Anti-infection, bleeding, symptomatic treatment, the effect is better, no recurrence of hematuria 7 months follow-up. Conclusions: Bladder amyloidosis is a rare disease. The main manifestations are painless gross hematuria, bladder side wall and trigone area as the predilection sites. The diagnosis mainly depends on the cystoscopy biopsy. Pathological examination shows that under the polarized microscope with Congo red staining Out of apple green birefringence light. Surgical resection of the main postoperative supplemented with dimethyl sulfoxide bladder irrigation, efficacy and prognosis is good.