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目的:探讨膀胱平滑肌瘤的病因、临床表现、诊治方法和预后。方法:回顾性分析我院2002年~2014年诊断为膀胱平滑肌瘤的6例患者临床资料:男2例,女4例,平均年龄56岁。排尿刺激症状1例,排尿障碍2例,血尿2例,无症状1例。术前均行CT、B超检查及膀胱镜检查,肿瘤直径为1.2~5.6cm,平均3.2cm。6例均采用手术治疗(1例行膀胱部分切除术,5例行经尿道膀胱肿瘤剜除术),术后基底部取活检。结果:术后患者均无血尿,排尿障碍及排尿刺激症状均明显改善,术后随访3个月~6年,平均4.2年,膀胱镜、B超或CT检查无肿瘤复发或转移。结论:膀胱平滑肌瘤常表现为排尿障碍、排尿刺激症状、血尿或腹痛等症状,也可无明显临床表现。诊断主要依靠B超、CT和膀胱镜检查,初诊时误诊率较高;外科手术是其主要的治疗方法,可采用膀胱部分切除术、经尿道膀胱肿瘤剜除术或经尿道膀胱肿瘤电切术,预后良好。
Objective: To investigate the etiology, clinical manifestations, diagnosis and treatment of bladder leiomyoma and its prognosis. Methods: The clinical data of 6 patients diagnosed as bladder leiomyoma from 2002 to 2014 in our hospital were retrospectively analyzed. There were 2 males and 4 females with an average age of 56 years. 1 case of micturition irritation, 2 cases of voiding dysfunction, 2 cases of hematuria, 1 case of asymptomatic. Preoperative CT, B-ultrasound and cystoscopy, tumor diameter of 1.2 ~ 5.6cm, an average of 3.2cm. Six cases were treated by surgery (one partial partial resection of the bladder, five cases of transurethral resection of the bladder tumor), postoperative basal biopsy. Results: No postoperative hematuria, micturition dysfunction and urinary irritation symptoms were significantly improved. The patients were followed up for 3 months to 6 years, an average of 4.2 years, cystoscopy, B ultrasound or CT without tumor recurrence or metastasis. Conclusions: Bladder leiomyoma often show dysuria, urinary irritation, hematuria or abdominal pain and other symptoms, but also no obvious clinical manifestations. Diagnosis mainly depends on B ultrasound, CT and cystoscopy, the diagnosis of misdiagnosis rate is higher; surgery is its main treatment, can be partial bladder resection, transurethral resection of the bladder tumor or transurethral resection of the bladder tumor The prognosis is good.