CAJ | 학술논문

目的：探究肌层浸润性膀胱癌患者保留膀胱术后的预后状况及其影响因素。方法回顾性分析50例肌层浸润性膀胱癌患者的临床资料，均行膀胱部分切除术配合辅助化疗治疗，COX回归分析影响术后预后复发及生存的因素。结果5年总生存率为60．00％，5年总复发率为46．00％；经单因素筛选及多因素回归分析后，淋巴血管侵犯、输尿管再植术等均是影响术后无复发率与总生存率的独立危险因素（P＜0．05）。结论肌层浸润性膀胱癌患者保留膀胱术后的预后状况，与淋巴血管侵犯、输尿管再植术等因素密切相关，应引起临床重视。
목적：탐구기층침윤성방광암환자보류방광술후적예후상황급기영향인소。방법회고성분석50례기층침윤성방광암환자적림상자료，균행방광부분절제술배합보조화료치료，COX회귀분석영향술후예후복발급생존적인소。결과5년총생존솔위60．00％，5년총복발솔위46．00％；경단인소사선급다인소회귀분석후，림파혈관침범、수뇨관재식술등균시영향술후무복발솔여총생존솔적독립위험인소（P＜0．05）。결론기층침윤성방광암환자보류방광술후적예후상황，여림파혈관침범、수뇨관재식술등인소밀절상관，응인기림상중시。
Objective To investigate the prognosis and its influence factors of partial cystectomy for muscle -invasive bladder cancer patients .Methods The clinical data of 50 patients with muscle-invasive bladder cancer were retrospectively ana-lyzed,all of them were treated by partial cystectomy and adjuvant chemotherapy treatment ,and the influence factors of postopera-tive recurrence and survival were analyzed by COX regression analysis .Results The 5-year total survival rate was 60.00%, while the 5-year total recurrence rate was 46.00%.After Logistic single factor screening and multi-factor analysis,lymphovascular invasion and ureteral reimplantation were the independent risk factors of postoperative recurrence and overall survival (P<0.05). Conclusion The prognosis of partial cystectomy for muscle-invasive bladder cancer patients is related to the lymphovascular in-vasion and ureteral reimplantation closely ,which should be paid attention during clinical .