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目的 探讨青少年膀胱移行细胞癌临床特点及诊疗方法。 方法 对 2 2例 30岁以下青少年膀胱移行细胞癌患者的临床资料进行回顾分析。 结果 间断全程无痛肉眼血尿 17例(77.3 % ) ,术前均经B超、膀胱镜活检及尿细胞学检查确诊。 2 2例均行手术治疗 ,行经尿道膀胱肿瘤电切术 18例 ,膀胱部分切除术 4例。 17例术后随访 6～ 10 7个月 ,5例复发。 结论 30岁以下青少年膀胱移行细胞癌具有分化好、分期早、复发率低及预后好等特点 ,经尿道电切术及术后定期复查可获得良好的治疗效果及预后。
Objective To investigate the clinical features and diagnosis and treatment of adolescent bladder transitional cell carcinoma. Methods The clinical data of 22 patients with bladder transitional cell carcinoma of adolescents under 30 years old were retrospectively analyzed. Results The painless gross hematuria was interrupted in 17 cases (77.3%). All patients were diagnosed preoperatively by B-mode ultrasonography, cystoscopy and urinary cytology. Twenty-two patients underwent surgical resection. Eighteen patients underwent transurethral resection of the bladder tumor and partial resection of the bladder in 4 patients. Seventeen patients were followed up for 6-107 months and 5 patients relapsed. Conclusions Adolescent bladder transitional cell carcinomas under 30 years of age have the characteristics of good differentiation, early stage, low recurrence rate and good prognosis. Transurethral resection and regular postoperative follow-up can achieve good therapeutic effect and prognosis.