【摘要】 目的 提高膀胱腺癌的诊治水平。 方法 回顾性分析21例膀胱腺癌临床资料，其中原发性膀胱腺癌14例，全膀胱切除+尿流改道术4例，膀胱部分切除6例，经尿道膀胱肿瘤电切术3例，姑息性尿流改道术1例;脐尿管腺癌7例，扩大膀胱部分切除术4例，根治性全膀胱切除+尿流改道术2例，放弃治疗1例。 结果 5年生存率18%(3/16)。 结论 原发性膀胱腺癌宜采用根治性全膀胱切除术，脐尿管腺癌宜采用扩大膀胱部分切除术，综合性治疗有助于提高复发、转移患者的生存率。

    关键词 膀胱肿瘤 脐尿管肿瘤 腺癌

    Diagnosis and treatment of20cases with adenocarcinoma of bladder

    Chen Tong，Ma Jichun，Li Baolian

    Department of Urology，The Union Hospital，Tianjin300050

    【Abstract】 Objective To evaluate the diagnosis and treatment of bladder adenocarcinoma.Methods 21cases with bladder adenocarcinoma treated from1982to2003were reviewed and analyzed，of which14cases were pri-mary bladder adenocarcinoma and7cases urachal adenocarcinoma.Among the patients with primary bladder adenocar-cinoma，4cases underwent total cystectomy and urinary diversion，6cases did partial cystectomy，3cases did TUR-Bt and1by palliative urinary diversion.In the7cases of urachal adenocarcinoma ......