龚书榕,陈文榜,陈梓甫,何延瑜,膀胱癌相关尿道癌的诊疗分析(附11例报告)

时间 : 2009-12-01 17:21:13 来源：www.chemyq.com

[摘要]

目的　探讨膀胱癌相关尿道癌的发生原因、预防及处理原则。方法　分析 11例与膀胱癌相关尿道癌的临床病理资料 ,3例为膀胱多发癌累及后尿道 ,1例为膀胱癌发生盆腔广泛浸润转移侵犯尿道 ,7例为全膀胱切除术

前言目的　探讨膀胱癌相关尿道癌的发生原因、预防及处理原则。方法　分析11例与膀胱癌相关尿道癌的临床病理资料,3例为膀胱多发癌累及后尿道,1例为膀胱癌发生盆腔广泛浸润转移侵犯尿道,7例为全膀胱切除术后出现尿道癌。结果　全膀胱切除术后尿道癌发生率23。8%,2例行全膀胱切除+回肠膀胱术+全尿道切除术,1例行经尿道膀胱肿瘤电切,1例盆腔广泛转移者行放射治疗,7例全膀胱切除术后尿道癌者补行全尿道切除术。结论　膀胱癌术后尿道癌重在预防;全膀胱切除术后选择回肠膀胱术及尿流改道,须同时行全尿道切除术;选择原位新膀胱+下尿路重建术者,术后需密切随访观察
ObjectiveToevaluatethecauses,preventionandtreatmentofurethraneoplasmsrelatingtobladderneoplasms.MethodsClinicopathologicalfindingsof11casesofurethraneoplasmsrelatingtobladderneoplasmswerestudiedretrospectively,amongthem3casesweremultiplebladderneoplasmsinvolvingtheposteriorurethra,1casewasbladderneoplasmswithdiffuseinvolvementofpelvicorgansincludingurethra,7caseswereurethrarecurrenceaftercystectomy.ResultsThetotalincidencerateofurethraneopla...