膀胱内翻性乳头状瘤临床诊疗分析(附43例报告)

目的:探讨膀胱内翻性乳头状瘤的临床表现、病理类型及临床诊治方法。方法:回顾性分析2004年3月至2011年6月,我院收治膀胱内翻性乳头状瘤43例,其中男35例,女8例,平均年龄57岁。临床表现主要为无痛性肉眼血尿,下尿路症状及体检发现。诊断依据泌尿系超声,膀胱镜检及病理检查,41例行经尿道膀胱肿瘤切除(TURBT),其中4例合并良性前列腺增生者同时行经尿道前列腺切除术,膀胱部分切除术1例,未手术治疗仅行膀胱灌注1例。结果:35例随访12个月-64个月,平均25个月。5例复发,其中4例再次行TURBT术,1例行膀胱全切治疗。结论:膀胱内翻性乳头状瘤是良性肿瘤,多见于男性,TURBT是膀胱内翻性乳头状瘤的首选治疗方法,预后良好,复发率低,膀胱灌注未见明显降低其复发率。但需定期随访。

Clinical analysis of bladder inverted urothelial papilloma: Report of 43 cases

Objective:To investigate the clinical features,pathology,diagnosis and treatment of Inverted urothelial papilloma.Methods: A total of 43 cases of urothelial inverted papilloma were analyzed retrospectively,of these cases,35 were male and 8 were female,with a mean age of 57 years old.Most patients complained of painless gross hematuria.The diagnosis could be established mainly by ultrasonic,cystoscope and pathology.41 were treated by transurethral bladder tumor resection(TURBT),among which 4 cases accompanying benign prostatic hyperplasia were treated by transurethral prostatic resection,1 by partial cystectomy,1 by cyst irrigation.Results: 35 cases were followed up for 12 months to 64 months(mean 25 months).Intravesical recurrence was found in 5 cases,of them 4 cases underwent TURBT,and 1 case underwent total cystectomy.Conclusion: Bladder inverted urothelial papilloma is a benign tumor.TURBT is the preferred treatment choice for inverted papilloma of the bladder,Although this disease has a good prognosis,regular follow-up observations are necessary.Irrigation therapy could not reduce the risk of recurrence.