CAJ | 학술논문

目的探讨膀胱内翻性乳头状瘤(IPB)的病理特点、临床诊断及治疗方法.方法回顾本院40例IPB患者临床资料,结合文献资料对IPB的病理特点、临床诊断和治疗方法及随访结果进行分析.结果所有患者术前行膀胱镜检查及活检,病理诊断均为IPB,40例均接受经尿道膀胱肿瘤电切术(TURBt)治疗,术后均给予正规膀胱灌注化疗6 ～36个月,定期复查膀胱镜,随访6～ 126个月,平均68个月,均无复发或发生膀胱恶性肿瘤.结论 IPB呈良性肿瘤生长特点,膀胱镜加活组织病理检查是确诊的主要方法,B超检查可作为筛查的手段,TURBt是IPB的标准治疗方法,术后应定期作膀胱镜复查.
목적 탐토방광내번성유두상류(IPB)적병리특점、림상진단급치료방법.방법 회고본원40례IPB환자림상자료,결합문헌자료대IPB적병리특점、림상진단화치료방법급수방결과진행분석.결과 소유환자술전행방광경검사급활검,병리진단균위IPB,40례균접수경뇨도방광종류전절술(TURBt)치료,술후균급여정규방광관주화료6 ～36개월,정기복사방광경,수방6～ 126개월,평균68개월,균무복발혹발생방광악성종류.결론 IPB정량성종류생장특점,방광경가활조직병리검사시학진적주요방법,B초검사가작위사사적수단,TURBt시IPB적표준치료방법,술후응정기작방광경복사.
Objectives To explore the pathologic characters of inverted papilloma of the bladder (IPB)and its clinical diagnosis and treatment.Methods The data of 40 cases with IPB in our hospital was analyzed,including the pathologic characters and the methods of diagnosis and treatment of IPB,and to review the literatures of IPB.Results All 40 patients were received transurethral resection of bladder tumor (TURBt) and treated with chemotherapy by pouring drug into bladder for 6 to 36 mons.They were not suffered from IPB recurrence or cancer during the following-up period(6 ～ 126 mons,average 68 mons).Conclusions IPB is a kind of benign tumor.The diagnosis should be confirmed by cystoscopy and biopsy.Ultrasonography is the screening examination of IPB.TURBt is the standard treatment of IPB.Repeating cystoscopy examination is recommended after operation.