膀胱内翻性乳头状瘤的诊断和治疗(附13例报告)

目的：探讨膀胱内翻性乳头状瘤的病因、病理和诊断治疗。方法：回顾性分析13例膀胱内翻性乳头状瘤的临床资料，10例采用经尿道膀胱肿瘤电切术（TURBt)、2例行膀胱肿瘤电灼术、1例行膀胱部分切除术治疗，术后膀胱灌注预防复发。结果：术后生存良好，随访3个月－10年未发现肿瘤复发。结论：膀胱内翻性乳头状瘤是一种少见的良性肿瘤，预后良好。确诊需行内镜检查及活检。TURBt是其标准治疗方法。术后予免疫制剂膀胱灌注有利于防治复发。

The diagnosis and treatment of inverted papilloma of the bladder(Report of 13 cases)

Purpose:To investigate the etiology, pathology, diagnosis and treatment of inverted papilloma of the bladder.Methods:13 cases of inverted papilloma of the bladder were analysed retrospectively and discussed with review of the literature. All patients were treated with TURBt followed by intravesical instillation therapy.Results:Recurrence and metastases could not be found postoperatively during follow-up of 3 months to 10 years in 13 cases of inverted papilloma of the bladder.Conclusions:Inverted papillomas of the bladder are rare benign tumors and have good prognosis. Cystoscopy and biopsy is the most important diagnosis method. TURBt is the standard therapeutic choice. Intravesical immunotherapy drugs after initial operation is good to prevent the tumor recurrence.