全膀胱切除回肠膀胱术的疗效探讨(附68例报告)

目的:探讨全膀胱切除回肠膀胱术的临床治疗效果.方法:回顾性分析1997年1月～2007年3月因膀胱肿瘤行全膀胱切除回肠膀胱术68例患者的临床资料.结果:68例中,膀胱肿瘤均累及膀胱颈部或膀胱三角区,其中移行细胞癌62例(91.18%),其他类型肿瘤6例;浸润性膀胱癌61例(89.71%);术后发生近期并发症47例(69.12%),远期并发症7例(10.29%).55例随访1～10年,平均5.6年,5年生存率39.71%.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,术后并发症少,疗效确切,早期手术生存率高,是一种值得推荐的尿流改道方式.

11-year's experience on the management of bladder cancer by radical cystectomy and ileal conduit(Report of 68 cases)

Objective:To evaluate the long-term efficacy of radical cystectomy and ileal conduit in the treatment of bladder cancer. Methods:68 cases of bladder tumor treated from Jan 1997 to March 2007 with radical cystectomy and ileal conduit for urinary diversion were studied retrospectively.Results:Bladder neck or trigone was involved by the neogrowth in 68(100%) . The growth has been invasive in 61(89.71%). 91.18 %(62/68) of the tumor were transitional cell carcinoma. Early operative complication occurred in 47(69...