【摘要】 目的探讨原发性局限性膀胱淀粉样变性患者的诊断和治疗方法。方法结合文献对我院2013年12月收治的1例原发性局限性膀胱淀粉样变性患者的临床资料进行总结分析。结果本例患者行尿道膀胱诊断性电切术,术后恢复良好,随访18个月未见复发。结论原发性局限性膀胱淀粉样变性临床上罕见,多发于中老年男性,以无痛性全程肉眼血尿为主要临床症状,临床表现与膀胱肿瘤相似,易误诊为膀胱肿瘤,确诊需依据病理,主要治疗方式以手术治疗为主;有复发恶变的可能,术后需长期随访。更多还原

【Abstract】 Objective To analyze and summarize the clinical manifestations,diagnosis and treatment of patients with primary limitations bladder amyloidosis. Methods Combined with literature,the clinical data of l patient of primary localized amyloidosis of urinary bladder in our hospital was analyzed. Results Histological examination revealed urinary bladder amyloidosis,the patient recovered well,no recurrence occurred during 18 months’ follow-up. Conclusion The primary localized amyloidosis of urinary bladder is rare,which occurs mainly in middle-aged men. The main clinical symptoms are painless and hematuria,which is similar to bladder cancer and often misdiagnosed as bladder cance. So the final diagnosis should be based on pathology. The main treatment is surgery. There are recurrent and malignant potential,the patients need a long-term follow-up after operation.更多还原