[收稿日期] 2003203201 ; [修订日期] 2003205220
[作者简介] 侯元青(19582) ,男 ,副主任医师.
前列腺增生症并膀胱肿瘤 22 例手术治疗效果
侯元青 ,武广平 ,厉彦卓
(日照市东港区人民医院外科 ,山东 日照 276800)
[摘要] ①目的 探讨前列腺增生症并发膀胱肿瘤手术治疗的效果.②方法 同期行肿瘤切除 + 前列腺摘
除18 例 ,行肿瘤切除 + 膀胱造瘘术 2 例 ,行 TURBT 术2例.③结果 随访 3 月~8 年,22 例中 4 例复发 ,1 例死于
远处转移 ,1 例死于其他原因 ,2 例失访 ,无1例发生前列腺窝 后尿道及切口肿瘤种植. ④结论 同期行膀胱肿
瘤切除 + 前列腺摘除或膀胱肿瘤切除 + 膀胱造瘘术 ,可达到解除尿路梗阻 降低肿瘤复发的作用 ,且发生前列腺
窝、后尿道及切口肿瘤种植的机会极小.
[关键词] 前列腺肥大 ;膀胱肿瘤 ;前列腺切除术 ;治疗结果
[中图分类号] R697 +
. 33 [文献标识码] A [文章编号] 100820341(2003) 0420404202
BENIGN PROSTATIC HYPERPLASIA ASSOCIATED WITH BLADDER TUMORS : A REPORT OF TWENTY2TWO SURGICAL
CASES HOU Yuan2qing , W U Guang2ping , L I Yan2zhuo (Department of Urology , Donggang Hospital of Rizhao City , Rizhao
276800 , China)
[ ABSTRACT] Objective To evaluate the surgical outcome of benign prostatic hyperplasia (BPH) associated with bladder tumor.
Methods The operations performed were as follows : resection of tumor plus prostatectomy ( 18 cases) , removal of tumor plus cys2
tostomy(two ) and TURBT(two) . Results The patients were followed for 3 months to 8 years. Recurrence of tumor occurred in four
patients , one died of distant metastasis , one died of other reasons ,loss of follow up in two. No tumor implantation in prostatic fossa , pos2
terior urethra or incision was found. Conclusion Simultaneous resection of bladder tumor and prostate or bladder tumor plus cystostomy
can relieve urinary tract obstruction and decrease the recurrence of bladder tumor with little chance of tumor implantation in the prostatic
fossa , posterior urethra and in incision.
[ KEY WORDS] benign prostatic hypertrophy ; bladder neoplasms ; prostatectomy ; treatment outcome
1993 ~ 2002 年,我院共收治前列腺增生症
(BPH) 并膀胱肿瘤病人 22 例 ,现将手术治疗体会报
告如下.
1 资料与方法
1. 1 一般资料
本组 22 例病人 ,年龄 56~78 岁 ,平均 67 岁.
病程 4 月~2 年 ,平均 8 个月.所有病人均有肉眼
血尿及排尿不畅症状 ,其中伴有急性尿潴留病史者

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