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    Of the 53 cases with inverted papilloma in the bladder transurethral bladder tumor resection was performed in 41 cases, transurethral laser resection in 3, partial cystectomy in 8, total cystectomy in 1. Of the 3 cases with inverted papilloma in the urethra transurethral prostatic urethral tumor resection was performed in 2 case, urethral orifice tumor resection in 1 case.
    肿瘤位于膀胱53例,行经尿道膀胱肿瘤电切术(TURBT)41例,经尿道膀胱肿瘤激光切除术3例,膀胱部分切除术8例,全膀胱切除术1例。 肿瘤位于尿道3例,行前列腺部尿道肿瘤电切术2例,尿道外口肿瘤切除术1例。
    4 patients were BPH with urethral tumor.
    BPH伴发后尿道肿瘤4例,524名患者的年龄为52-90(71.7±7.1)岁。
    cases of urothelial tumor were treated from 1975 to 1992 of which 34 were pelvic, 19 ureteral, 351 vesical and 9 urethral (pelvic: ureteral: vesical: urethral= 3. 78: 2. 11: 39: 1).
    1975~1992年底在本院手术治疗病理证实的尿路上皮癌413例(肾盂移行上皮癌34例;输尿管移行上皮癌19例;胱移行上皮癌351例;尿道移行上皮癌9例)。 如果以尿道肿瘤为1,各部位发生尿路上皮肿瘤机会之比为:肾盂:输尿管:膀胱:尿道=3.78:2.11:39:1。
    Femaleidiopathicurethratumor:clinicalfeaturesdiagnosisandtreatment
    女性原发性尿道肿瘤的临床特点与诊治
    Fifty two female patients suffered from lower ureteral tract disease including tumor(6cases),ureteral stricture(6 cases),periurinary mass(4 cases),urinary incontinence(28 cases)and others(8 cases)were examined by endosonography through transrectal and/or transvaginal approaches.
    采用腔内超声技术探测52例女性下尿路疾患,其中尿道肿瘤6例,尿道狭窄6例,尿失禁28例,尿道旁肿块4例,其它病变或病症8例。
    From Jan,1980 to Dec.1991,121 cases of superficial transitional cell carcinoma of bladder were reviewed for prognosis. All the patients were treated either by transurethral fulguration,resection or by partial cystectomy followed by intravesical adjuvant therapy in all.
    从1980年1月至1991年12月,对121例表浅性膀胱肿瘤进行回顾性研究,首次手术采用经尿道肿瘤电灼术,电切术或膀胱部分切除术,术后配合膀胱内灌药辅助治疗。
    Disease progression and muscle invasion were assessed during a mean follow-up of 42. 4 months and related to grade,the number and location of tumours.
    手术均采用经尿道肿瘤电切术,术后行膀胱内BCG灌注为辅助治疗,平均随访42.4个月;
    1 paitient died shortly after operation,12 died of cancer metastasis and 3 died of diseases unrealted to the carcinoma.
    肿瘤转移死亡12 例,尿道肿瘤复发1 例,与肿瘤无关死亡3 例。
    No patient suffered from neobladder or urethral recurrence.
    未发现肠膀胱或尿道肿瘤复发。
    13 cases received the TOR - Bt operations.
    13例经尿道肿瘤电切。
    Results: All cases of morphologieal urethremphraxis were divided into four kinds: urethritis, urethra tumor or urethra damage and urethra deformity.
    结果 :33例尿道自身性病变梗阻可分四类 :尿道炎性病变、尿道肿瘤、尿道损伤和尿道畸形。
    Filling defect, irragular narrowness and small ulcers were seen in urethra tumor, and its clinical characteristics were spermaturia, haematuria and palpating mass.
    尿道肿瘤可表现为充盈缺损或僵硬毛糙的狭窄以及小溃疡 ,临床可出现血尿、血精 ,可触及肿块 ;
    Conclusion: Urethritis, urethra tumor, urethra damage and urethra deformity were the common causes of urethremphraxis, with their own clinical and radiological characteristics.
    结论 :尿道炎性病变、尿道肿瘤、尿道损伤及尿道畸形是引起尿道自身性梗阻较常见的原因 ,都有一定的X线特征。
 

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