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目的探讨膀胱副神经节瘤的临床表现及诊断治疗方法。方法回顾性分析2005年3月至2013年12月我院收治的16例膀胱副神经节瘤患者临床资料,总结膀胱副神经节瘤临床表现和诊治要点。结果本组16例患者,11例为功能性肿瘤,主要临床表现为头痛、心悸、多汗、排尿后血压一过性升高;5例为无功能性肿瘤,临床表现为血尿。临床诊断主要结合临床表现、尿儿茶酚胺检测及病理学检查。16例患者中,12例行膀胱肿瘤切除术,4例行膀胱部分切除术,术后随访无1例复发。结论膀胱副神经节瘤临床少见,有其特殊临床表现,行膀胱部分切除或肿瘤切除术效果良好。
Objective To investigate the clinical manifestations and diagnosis and treatment of paraganghilic ganglioneuromas. Methods The clinical data of 16 patients with bladder paraganglioma treated in our hospital from March 2005 to December 2013 were analyzed retrospectively to summarize the clinical manifestations and diagnosis and treatment of bladder paraganglioma. Results The group of 16 patients, 11 patients with functional tumors, the main clinical manifestations of headache, palpitations, sweating, blood pressure transiently increased after urination; 5 cases of non-functional tumor, the clinical manifestations of hematuria. Clinical diagnosis combined with clinical manifestations, urinary catecholamine detection and pathological examination. Among the 16 patients, 12 underwent resection of the bladder tumor and 4 underwent resection of the bladder. No recurrence was observed after the operation. Conclusions Bladder paraganglioma is rare and has special clinical manifestations. Partial bladder resection or tumor resection is effective.