摘要
目的评价膀胱切除治疗膀胱癌的疗效及四种不同方式尿流改道的远期效果。方法回顾分析1992年至2004年膀胱癌行膀胱切除及尿流改道术56例临床资料。结果随访1-10年,5年生存率58.8%,生存超过10年者1例,大部分患者对正位可控肠代膀胱控尿满意。结论膀胱切除并不能提高5年生存率,对部分浸润性膀胱癌可选择地采用保留膀胱手术;正位可控回肠膀胱术是最理想的尿流改道方式。
Objective To evaluate the long term efficacy of radical cystectomy in the treatment of bladder tumor and the four different ways of urinary diversion. Methods Data of 56 cases with bladder tumor during 1992 to 2004 who underwent radical cystectomy and urinary diversion were retrospectively analyzed. Results During the 1- 10 years of follow-up, 58.8% of the patients could live for 5 more years, one of them for over 10 years and most of them were satisfied With ileal conduit. Conclusion The radical cystectomy can not make more patients live for more than 5 years. It is an optimal treatment to preserve bladders in certain cases and ileal conduit is an ideal way of urinary diversion.
出处
《现代泌尿外科杂志》
CAS
2006年第2期99-101,共3页
Journal of Modern Urology
关键词
膀胱癌
膀胱切除
尿流改道
bladder tumor
radical cystectomy
urinary diversion
作者简介
郑业辉（1967-），主治医师，科副主任．
