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目的 :探讨膀胱嗜铬细胞瘤的诊断及治疗方法。方法 :回顾性分析 6例膀胱嗜铬细胞瘤患者临床资料 ,并复习相关文献。结果 :6例均经术后病理证实 ,术前确诊 5例。行膀胱部分切除 5例 ,肿瘤剜除 1例。随访 8个月～ 1 0年 ,血压正常 ,无肿瘤复发。结论 :膀胱嗜铬细胞瘤的典型性症状是排尿时或排尿后血压升高、头痛、头晕、心悸、出汗等。B超、CT、MRI及 13 1I- MIBG等对诊断均有较高的价值。手术切除是最有效的治疗方法。术后监测尿儿茶酚胺含量 ,可以了解有无转移或复发。
Objective: To investigate the diagnosis and treatment of bladder pheochromocytoma. Methods: A retrospective analysis of 6 cases of bladder pheochromocytoma clinical data, and review the relevant literature. Results: All the 6 cases were proved by pathology and 5 cases were confirmed before operation. Partial excision of bladder in 5 cases, removal of tumor in 1 case. Followed up for 8 months ~ 10 years, normal blood pressure, no tumor recurrence. CONCLUSIONS: The typical symptoms of bladder pheochromocytoma are high blood pressure during urination or urination, headache, dizziness, palpitation, sweating and the like. B ultrasound, CT, MRI and 13 1I-MIBG have higher value for diagnosis. Surgical resection is the most effective treatment. Postoperative urinary catecholamine monitoring can understand whether the transfer or recurrence.