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1993年10月～1996年1月对54例膀胱肿瘤患者术后一周行近期尿细胞学检查,旨在探讨其与膀胱肿瘤复发的预后意义,现报告如下。 1 资料和方法 54例膀胱瘤患者均经病理证实为膀胱移行细胞癌。男性40例,女性14例,年龄32～76岁,平均56.6岁。临床分期Ta期6例,T_1期36例,T_(2～3)期12例;病理分级:Ⅰ级31例,Ⅱ级13例,Ⅲ级10例。手术方法:表浅癌(Ta～T_1期)42例行TURBt22例,膀胱肿瘤粘膜下切除16例,膀胱部分切除4例。浸润癌(T_2～T_3期)12例,均行膀胱部分切除术。术后随访15～42个月。 术后一周经保留尿管或膀胱造瘘管注入生理盐水50～100ml加压冲洗。将所得膀胱冲洗液标本离心(1200转/分)10分钟,取沉渣涂于玻片上作常规尿细胞学检查。 2 结果 54例膀胱肿瘤术后近期尿细胞学肿瘤阳性16例(29.63％)。表浅癌组42例,尿细胞学肿瘤阳性
From October 1993 to January 1996, 54 cases of bladder cancer patients underwent one-week postoperative urinalysis to investigate the prognostic significance of the recurrence with bladder cancer. The report is as follows. 1 Materials and Methods 54 cases of bladder cancer patients were pathologically confirmed as bladder transitional cell carcinoma. 40 males and 14 females, aged 32 to 76 years old, with an average of 56.6 years old. There were 6 cases in clinical stage Ta, 36 cases in T_1 stage and 12 cases in T_ (2 ~ 3) stage. The pathological grade was grade Ⅰ in 31 cases, grade Ⅱ in 13 cases and grade Ⅲ in 10 cases. Surgical methods: 42 cases of superficial carcinoma (Ta ~ T_1) TURBt 42 cases, 16 cases of bladder tumor submucosal resection, 4 cases of partial resection of the bladder. Invasive carcinoma (T_2 ~ T_3) in 12 cases, underwent partial bladder resection. Follow-up 15 ~ 42 months after operation. One week after surgery by catheter or bladder fistula into the saline 50 ~ 100ml pressure rinse. The resulting bladder irrigant samples centrifuged (1200 r / min) for 10 minutes, the sediment coated on glass for routine urine cytology. 2 results of 54 cases of bladder cancer after surgery in 16 cases of positive urine cytology (29.63%). 42 cases of superficial cancer group, urine cytology positive