膀胱部分切除术

Objective To evaluate the therapeutic effect of internal iliac arterial chemotherapyduring cystectomy in patients with invasive bladder cancer.

目的 评价膀胱部分切除术中经髂内动脉灌注化疗浸润性膀胱癌的疗效。

Malignant tumor after 1 to 2 weeks to the beginning of reperfusion, the partial cystectomy From the beginning of reperfusion after 4 weeks.

恶性肿瘤术后1～2周即可开始灌注，行膀胱部分切除术者术后4周开始灌注。

The classics of exact measure; that conclusion cystoscope examination is diagnostic ureter cyst is urethral the remedial method that resection of part of ureter cyst wall is a kind of handy, safety and effective.

结论膀胱镜检查是诊断输尿管囊肿的确切手段；经尿道输尿管囊肿壁部分切除术是一种简便、平安和行之有效的治疗手段。

From April 2000 to June 2002, 512 cases of laparoscopical urologic operation have been performed through transperitoneal and retroperitoneal or extraperitoneal approach: 41 cases of nephrectomy, 36 cases of radical nephrectomy, 10 cases of nephroureterectomy with cystoscopic en bloc excision of the distal ureter and bladder cuff, 3 cases of partial nephrectomy, 78 cases of partial adrenalectomy or resection of adenomas, 71 cases of total adrenalectomy, 17 cases of ureterolithotomy, 122 cases of decortication of renal cyst, 1 case of Anderson-Hynes dismembered pyeloplasty, 7 cases of renal pedical lymphatics disconnection, 2 cases of relative living donor nephrectomy.

本课题通过对223例肾疾病、149例肾上腺疾病、17例输尿管结石病人进行腹腔镜及后腹腔镜手术，其中肾囊肿去顶术140例、单纯肾切除术41例、根治性肾切除术36例、肾输尿管全切及输尿管口膀胱袖套状切除术10例、后腹腔镜肾部分切除术3例、Anderson-Hynes肾盂成形术1例、肾蒂淋巴管离断术7例、腹腔镜和后腹腔镜活体亲属供肾切取术各1例、肾上腺部分或单纯肿瘤切除术78例、肾上腺全部切除术71例、输尿管切开取石术17例。记录手术时间、手术中失血量、肠道功能恢复时间及并发症，将结果与传统开放手术和国外学者的腹腔镜手术结果进行比较，对数据进行统计分析。

All patients received en bloc excision of the urachal anomalies, and seven of them underwent additional patial cystectomy.

在治疗上，其中有14例只接受局部大块切除，另有7例除接受局部大块切除外，尚接受部分膀胱切除术。

Results Irritative symptoms (78%) and gross hematuria (36%) were the most common symptoms encountered in these patients.

结果尿路刺激症状和血尿为最常见症状，分别为78％和36％。24小时尿抗酸杆菌和尿结核PCR的阳性率分别为25％和40％，IVU，逆行尿路造影及CT的诊断符合率分别为38％，63％和44％。33例患者接受了肾及部分输尿管切除术，肾上盏结核病灶清除术1例，对侧输尿管膀胱吻合术1例及肾穿刺造瘘术1例。1例患者并发血行播散型结核死亡。

Results Irritative symptoms (78%) and gross hematuria (36%) were the most common symptoms encountered in these patients.Acid-fast stains on urinary sediment were positive in 25% of cases and TB-PCR was positive in 40%.The diagnostic accuracy of IVU,retrograde urography and CT in these patients were 38%,63% and 44% respectively.33 patients underwent a nephrectomy and partial ureterectomy,one of them had a contralateral ureter reimplantation.One patients died of miliary tuberculosis. Conclusions Acid-fast stain remains a major pathogen-detecting tool and the value of TB-PCR needs to be confirmed.

结果 尿路刺激症状和血尿为最常见症状，分别为78%和36％。24小时尿抗酸杆菌和尿结核 PCR 的阳性率分别为25％和40％， IVU ，逆行尿路造影及 CT 的诊断符合率分别为38%，63%和44%。33例患者接受了肾及部分输尿管切除术，肾上盏结核病灶清除术1例，对侧输尿管膀胱吻合术1例及肾穿刺造瘘术1例。1例患者并发血行播散型结核死亡。

Results Conservative treatment was carried out for 4 patients, ureteroureterostomy for 7 patients, ureteroneocystostomy for 22 patients, bladder valve-ureter anastomosis for 2 patients, vermiform appendix-ureter replacement for 2 patients, and nephrectomy for 1 patients.

结果 4例行双J管保守治疗，7例(9侧)行输尿管端端吻合术，2 2例行输尿管膀胱再植术，2例行膀胱壁瓣输尿管吻合术，2例行阑尾代右侧部分输尿管术，1例行肾切除术。

Extensive partial excision of the bladder is the treatment of choice for urachal carcinoma.Comprehesive therapy should be applied to those patients with metastatic or tumor recurrence.

扩大性膀胱部分切除术可作为脐尿管腺癌的主要手术方式，对复发、转移病例应积极采取综合治疗。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。