肌層浸潤性膀胱癌治療現(xiàn)狀的臨床薈萃

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1、授予單位代碼10089學(xué)號或申請?zhí)?0153267中國圖書分類號R699.5HebeiMedicalUniversity碩士學(xué)位論文專業(yè)學(xué)位肌層浸潤性膀胱癌治療現(xiàn)狀的臨床薈萃研究生：張登所導(dǎo)師：黎瑋教授專業(yè)：外科學(xué)二級學(xué)院：河北醫(yī)科大學(xué)第二醫(yī)院2018年3月河北醫(yī)科大目錄中文摘要··········································································································1英文摘要············································

2、······························································2英文縮寫··········································································································4綜述肌層浸潤性膀胱癌治療現(xiàn)狀的臨床薈萃··········································5致謝·························································

3、·························································22個人簡歷··········································································································23中文摘要肌層浸潤性膀胱癌治療現(xiàn)狀的臨床薈萃摘要目的：學(xué)習(xí)和了解肌層浸潤性膀胱癌的各種治療方法，對其治療現(xiàn)狀進(jìn)行系統(tǒng)性的總結(jié)和分析。方法：通過查找相關(guān)書籍和文獻(xiàn)，總結(jié)和分析肌層浸潤性膀胱癌不同治療方法的優(yōu)缺點(diǎn)。結(jié)果：在其外科治療方面，腹腔鏡下根治性全

4、膀胱切除術(shù)已被廣泛接受；隨著醫(yī)療水平的進(jìn)步，通過綜合治療來實(shí)現(xiàn)保留膀胱的治療方式也是可行的；機(jī)器人輔助腹腔鏡下根治性全膀胱切除術(shù)在未來將成為一個重要的發(fā)展方向；在條件適當(dāng)?shù)那闆r下，女性保留生殖器的手術(shù)方式也取得了較好的效果。以及隨著新輔助治療及分子靶向治療的發(fā)展，在未來也將會有重要的突破。結(jié)論：根治性膀胱全切除術(shù)加盆腔淋巴結(jié)清掃一向都是肌層浸潤性膀胱癌的標(biāo)準(zhǔn)治療方案；腹腔鏡下根治性全膀胱切除術(shù)的優(yōu)點(diǎn)不僅在于它圍手術(shù)期的病死率低，而且患者術(shù)后的生活質(zhì)量也得到改善；機(jī)器人輔助腹腔鏡下根治性全膀胱切除術(shù)的優(yōu)點(diǎn)是手術(shù)創(chuàng)傷小、出血量少且恢復(fù)快，缺點(diǎn)在于其價格昂貴；在選擇合適患者的情況下，女性保

5、留生殖器手術(shù)方式也取得了較好的效果；綜合治療保留膀胱的方式主要有輔助放化療、分子靶向治療、膀胱部分切除等方法，但仍需進(jìn)一步探討。關(guān)鍵詞：肌層浸潤性膀胱癌，現(xiàn)狀，綜合治療，新輔助化療，分子靶向治療1英文摘要ClinicalstudyonthetreatmentofmuscleinvasivebladdercancerABSTRACTObjective:Learnandunderstandvarioustherapeuticmethodsofmuscleinvasivebladdercancer,andsystematicallysummarizeandanalyzethecurrent

6、treatmentstatus.Methods:Throughthesearchforrelatedbooksandliterature,theadvantagesanddisadvantagesofdifferenttreatmentsformuscleinvasivebladdercancerweresummarizedandanalyzed.Result:Initssurgicaltreatment,laparoscopicradicalcystectomyhasbeenwidelyaccepted;asthemedicallevelprogresses,itisalsofea

7、sibletoachievebladderpreservationtreatmentthroughcomprehensivetreatment;Robot-assistedlaparoscopicradicalbladderResectioninthefuturewillbeco-meanimportantdirectionofdevelopment;underproperconditions,femalegenitalsurgeryalsoachieve