Dovlatian A A
Urol Nefrol (Mosk). 1996 Mar-Apr(2):17-21.
Surgical aid in acute hemorrhage due to cancer of the urinary bladder was rendered within 1986-1994 to 65 patients (53 males and 12 females) aged 30-50, 51-60, 61-70 and over 70 years (10, 11, 24 and 20 cases, respectively). The majority had the disease stage T2 and T3. In 42 (64.6%) patients with profuse hematuria complicated by bladder tamponade an urgent resection was performed: segmental in 22, hemiresection in 8, open bladder electroexcision of the tumor in 10 patients. 2 patients had sigmoid cancer with bladder involvement managed by subtotal resection of the bladder and resection of the sigmoid colon. Nephro- or cystostomy was performed because of grave condition (purulent pyelonephritis, azotemia) in 23 patients (35.4%). Total postoperative lethal outcomes made up 33.3% (14 patients): 6 patients died early after surgery, 8 patients 6 months to 8 years later. 27 patients (64.3%) are alive. Of them 10 are 5-8-year survivors. These patients had cancer stage T2 and T3 with tumor location on the lateral wall. In three 4-year survivors there were tumor recurrences 2 and 3 years after surgery which were treated by transurethral resection and electroexcision on the open bladder. Long-term outcomes of urgent surgery show that different kinds of resection of the bladder may be effective in the treatment of acute hemorrhages from bladder tumors.
1986年至1994年期间，对65例年龄在30 - 50岁、51 - 60岁、61 - 70岁及70岁以上（分别为10例、11例、24例和20例）的膀胱癌急性出血患者（53例男性和12例女性）实施了手术辅助治疗。大多数患者处于疾病T2和T3期。在42例（64.6%）伴有膀胱填塞的大量血尿患者中进行了急诊切除：22例为节段性切除，8例为半切除，10例为开放性膀胱肿瘤电切术。2例患有累及膀胱的乙状结肠癌患者接受了膀胱次全切除和乙状结肠切除术。因病情严重（脓性肾盂肾炎、氮质血症），23例患者（35.4%）进行了肾造瘘或膀胱造瘘术。术后总死亡率为33.3%（14例患者）：6例患者术后早期死亡，8例患者在术后6个月至8年死亡。27例患者（64.3%）存活。其中10例为5至8年的幸存者。这些患者处于癌症T2和T3期，肿瘤位于侧壁。在3例4年幸存者中，术后2年和3年出现肿瘤复发，通过经尿道切除术和开放性膀胱电切术进行了治疗。急诊手术的长期结果表明，不同类型的膀胱切除术可能对治疗膀胱肿瘤急性出血有效。
