本文报告我院自1960～1981年期间353例膀胱癌病例中作全膀胱切除者共116例,占32.9%,经过病理学检查,诊断为移行上皮细胞癌108例,腺癌5例,鳞状上皮细胞癌3例。肿瘤为单个者共39例。膀胱全切除后作尿流改道术包括;腹膜外回肠膀胱术76例;输尿管乙状结肠吻合15例;Remide手术2例;输尿管皮肤造痿3例。膀胱切除后用乙结肠扩大膀胱14例和迥肠扩大膀胱者1例;本组手术死亡率占12%,五年生存率为34.4%。 This article reports from our hospital from 1960 to 1981, 353 cases of bladder cancer cases of total cystectomy were 116 cases, accounting for 32.9%, after pathological examination, the diagnosis of transitional cell carcinoma in 108 cases, adenocarcinoma in 5 cases, squamous Epithelial cell carcinoma in 3 cases. A single tumor in 39 cases. Urinary diversion after total excision of the bladder included: extraperitoneal ileostomy 76 cases; ureteral sigmoid anastomosis in 15 cases; Remide surgery in 2 cases; ureteral skin impotence in 3 cases. After cystectomy with B colon expansion of the bladder in 14 cases and colostomy expand the bladder in 1 case; the group of surgical mortality accounted for 12%, five-year survival rate of 34.4%.