膀胱内翻性乳头状瘤的临床诊治-现代医学

膀胱内翻性乳头状瘤的临床诊治

作者：杨正平

单位：江苏省中西医结合医院

分类号：

出版年·卷·期（页码）：2014··第十二期（0-）

摘要：

目的：探讨膀胱内翻性乳头状瘤（inverted papilloma of the bladder，IPB）临床诊治方法。方法：回顾性分析11例膀胱内翻性乳头状瘤患者的临床资料，复习相关文献。结果：10例患者行经尿道膀胱肿瘤电切术（transurethral resection of bladder tumor，TURBT），1例因电切镜无法置入行开腹手术。术后病理均为膀胱内翻性乳头状瘤。术后定期膀胱灌注治疗。随访时间12个月-36个月，未见复发。结论：膀胱内翻性乳头状瘤预后良好，确诊主要依靠膀胱镜及病理活检，TURBT是其标准治疗方法，术后应定期膀胱灌注并定期复查膀胱镜，以防复发。

Objective: To investigate the diagnosis and treatment of inverted papilloma of the bladder (IPB). Methods: The clinical documents of 11 cases of IPB were studied retrospectively and related literature was reviewed. Results: All cases were treated with transurethral resection of bladder tumor (TURBT) and proved to be IPB by pathology. All cases were underwent bladder irrigation, and followed up from 12 months to 36 months. No case had recurrence. Conclusion: Inverted papilloma of the bladder can be treated with good prognosis. Cystoscopy and biopsy is the most important diagnosis method. TURBT is the standard therapeutic method. Bladder irrigation therapy after initial operation is important to prevent the tumor recurrence.

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