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1975—1984年间,110例男性患者因膀胱癌行根治性膀胱全切术。15例已证实或可疑尿道受累,其中10例作预防性或治疗性尿道切除术。年龄50—75岁,由于高度怀疑尿道受累,6例尿道切除与膀胱全切同时或术后2个月内,但术后病理均术发现尿道肿瘤,3例随访3年仍无瘤生存,余3例术后平均16个月时死于膀胱癌复发。4例因出现尿道受累作治疗性尿道切除术,分别于膀胱切除术后2、3、2、5年时施行。5例膀胱全切时发现前列腺尿道受累,因原发肿瘤已属晚期,未行尿道切除术,全部于术后平均6个月死于膀胱癌转移。
Between 1975 and 1984, 110 male patients underwent radical cystectomy for bladder cancer. Fifteen patients had confirmed or suspected urethral involvement, of whom 10 were treated with prophylactic or therapeutic urethral resection. Age 50-75 years old, due to high suspicion of urethral involvement, 6 cases of urethral resection and bladder resection at the same time or within 2 months after surgery, but postoperative pathology were found urethral tumors, 3 cases were followed up for 3 years still no tumor survival, I Three patients died of bladder cancer recurrence after an average of 16 months. Four cases were treated with urethral involvement for therapeutic urethral resection. They were performed at 2, 3, 2, and 5 years after cystectomy. In 5 cases of bladder excision, prostatic urethral involvement was observed because the primary tumor was already advanced and no urethral resection was performed. All patients died of bladder cancer metastasis within an average of 6 months after surgery.