论文部分内容阅读
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 1985年 1月至 2 0 0 0年 1月膀胱肿瘤行全膀胱切除回肠膀胱术 196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 12 6例 (6 4.3 % ) ,浸润性膀胱癌 145例 (74.0 % ) ,移行细胞癌183例 (93.4% )。术后发生近期并发症 19例 (9.7% ) ,远期并发症 10例 (7.4% )。 135例随访 1～ 15年 ,平均 6 .6年 ,5年生存率 6 6 .2 %。 结论 全膀胱切除是浸润性膀胱癌首选治疗方法 ,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 curative effect of total cystectomy on bladder tumor and the long-term effect of ileal bladder surgery. Methods A retrospective analysis of January 1985 to January 2000 bladder tumor total cystectomy ileal 116 cases of clinical data. Results 126 cases (6 4.3%) of BTCC, 145 cases of invasive bladder cancer (74.0%) and 183 cases of transitional cell carcinoma (93.4%) were involved in bladder neoplasms. Postoperative complications occurred in 19 cases (9.7%), long-term complications in 10 cases (7.4%). 135 cases were followed up for 1 to 15 years, an average of 6.6 years, 5-year survival rate of 6.62%. Conclusions Total cystectomy is the preferred treatment for invasive bladder cancer. Ileal bladder surgery is simple and easy. Long-term follow-up shows fewer complications and definite curative effect. It is still an ideal urinary diversion route.