摘 要：目的：探讨膀胱腺癌的诊治效果。方法：回顾性分析23例膀胱腺癌的临床资料，其中原发性膀胱腺癌14例，脐尿管腺癌9例。结果: 23例中有13例行根治性全膀胱切除术，10例行扩大膀胱部分切除术，术后随访3～8年，其1年生存率为60.9%，2年生存率47.8%，5年生存率为26.3%。结论：扩大性膀胱部分切除术是脐尿管腺癌的主要手术方式，原发性膀胱腺癌多行根治性全膀胱切除术，总体疗效仍需进一步提高。

    关键词： 膀胱肿瘤； 脐尿管腺癌； 腺 癌

    Diagnosis and Therapy of Adenocarcinoma of Urinary BladderLIU Zhen-cai

    (The Central People’s Hospital of Zhanjiang,Guangdong Zhanjiang 524037,China)

    Abstract： Objective: To investigate the treatment outcome of bladder adenocarcinoma. Method : 23 cases of bladder adenocarcinoma treated from January 1980 to December 2000 were reviewed and analyzed. 14 cases were primary bladder adenocarcinoma, and the other 9 were urachal adenocarcinoma. Result: 13 of 23 cases underwent radical total cystectomy , 10 cases did extensive partial cystectomy ,22 cases have been followed up at least three to eight years, and the one-year survival rate was 60.9%,and two-year survival rate was 47.8% and the five-year survival rate was 26.3%. Conclusion: Extensive partial cystectomy should be an effective treatment for the urachal adenocarcinoma .Radical total cystectomy was the main choice of treatment for the primary adenocarcinoma of bladder. The curative effect remains to be improved for urinary bladder adenocarcinoma. ......