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目的:探讨原发性膀胱淀粉样变的临床、影像学、病理学特征以及诊疗方法。方法:回顾性分析1例原发性膀胱淀粉样变患者的临床资料。结果:行经尿道电切(TUR)术,术后辅以50%二甲基亚砜(DMS0)膀胱灌注,随访1年未出现肉眼血尿。结论:原发性膀胱淀粉样变临床及其罕见,极易与膀胱癌混淆,确诊需依据临床表现、影像学检查、病理学检查及特殊染色。治疗以手术尽可能切除病变组织为主,术后辅以DMS0膀胱灌注,疗效及预后良好。
Objective: To investigate the clinical, imaging and pathological features of primary bladder amyloidosis and its diagnosis and treatment. Methods: A retrospective analysis of 1 case of primary bladder amyloidosis clinical data. Results: Transurethral resection of the urethra (TUR) was performed. Postoperative intravesical instillation of 50% dimethylsulfoxide (DMS0) was followed up for 1 year without gross hematuria. Conclusion: The primary bladder amyloidosis clinical and its rare, easily confused with bladder cancer, confirmed according to clinical manifestations, imaging examination, pathological examination and special staining. Treatment of surgical resection of diseased tissue as possible, postoperative supplemented with DMS0 bladder perfusion, efficacy and prognosis is good.