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目的 探讨无肉眼血尿膀胱恶性肿瘤的临床表现和诊治效果。 方法 总结分析了19例无肉眼血尿膀胱恶性肿瘤的临床特点和诊治方法。 结果 本组 19例无肉眼血尿膀胱恶性肿瘤中 ,8例是B超在诊断其他疾病时偶然发现。该组患者均为移行细胞癌 ,肿瘤体积小 ,单发 ,细胞分化好 ,治疗效果满意。另外在 11例伴有膀胱刺激症状的膀胱恶性肿瘤中 ,4例为非移行细胞癌 ,7例为移行细胞癌。该组患者的肿瘤体积较大 ,多发 ,细胞分化差 ,治疗效果不佳 ,预后不良。 结论 B超检查对发现不典型膀胱肿瘤起有重要的作用。伴有膀胱刺激症状的恶性肿瘤由于预后不良在治疗中应引起重视
Objective To investigate the clinical manifestations, diagnosis and treatment of macroscopic bladder neoplasm without gross hematuria. Methods The clinical features, diagnosis and treatment methods of 19 cases of bladder cancer without gross hematuria were analyzed and analyzed. Results Of the 19 cases without macroscopic hematuria and urinary bladder malignancy, 8 cases were accidentally found in the diagnosis of other diseases by ultrasound. The patients in this group were all transitional cell carcinomas. The tumors were small, single-celled, and the cells were well differentiated. The therapeutic effect was satisfactory. In addition, of the 11 bladder cancers with bladder irritation, 4 were non-transitional cell carcinomas and 7 were transitional cell carcinomas. The patients in this group had large tumor volumes, multiple tumors, poor cell differentiation, poor treatment, and poor prognosis. Conclusion B-ultrasound plays an important role in the detection of atypical bladder tumors. Malignant neoplasms with bladder irritation should be given due attention to poor prognosis