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膀胱肿瘤45例诊断与治疗分析
引用本文:张宁之,金光庭,刘兴怀,张树建.膀胱肿瘤45例诊断与治疗分析[J].山东医学高等专科学校学报,1987(Z1).
作者姓名:张宁之  金光庭  刘兴怀  张树建
作者单位:临沂地区人民医院外科,临沂地区人民医院外科,临沂地区人民医院外科,临沂地区人民医院外科
摘    要:本文对45例膀胱肿瘤进行了分析和讨论。肿瘤绝大多数为移行上皮癌,有一例罕见的成人横纹肌肉瘤。临床症状以血尿最为常见,45例均出现血尿。膀胱镜检查可以确诊。以手术治疗为主,但应慎重选择手术方法,对多发及三角区的较大肿瘤更应慎重,必要时可行全膀胱切除术。行噻(口替)哌膀胱内灌注,对预防复发疗效较好。

关 键 词:血尿  膀胱肿瘤  内窥镜术  外科手术  药物疗法  联合

BLADDER TUMOR: THE DIAGNOSIS AND TREATMENT OF 45 CASES
Zhang Ningzhi,et al Dept. of Surgery,Linyi district people''''s hospital,Shandong.BLADDER TUMOR: THE DIAGNOSIS AND TREATMENT OF 45 CASES[J].Journal of Shandong Medical College,1987(Z1).
Authors:Zhang Ningzhi  Dept of Surgery  Linyi district people's hospital  Shandong
Abstract:In this group, most of the tumors were transitional cell carcinoma in bladder.One of them was arare rhabdomyosarcoma of bladder in adult.He- maturia was the essential clinical symptom of the bladder tumor. ALL of 45 patients had the appearance of hematuria. A exact diagnosis was established by means of cystoscope. The essential treatment was surgical operation. It must be cautious of selecting the method of the operation,especially, for the multiple tumor and bigger tumor in the trigon of bladder. Pancysteclomy may be performed if necessaty. It has better effect to use the perfusion with thiotepa.
Keywords:Hematuria  Bladder neoplasms  Endoscopy  Surgery  operatiye  Drug therapy  combination
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