lin91957
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Posted: Fri 9:50, 11 Mar 2011 Post subject: 泌尿外科腹 |
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泌尿外科腹腔镜手术的进展
ue/ornonpatpabtetestisJUrol,l997,l58:l948~l95117UshiyamaTtKageyamaS,MugiyaS,eta1.Laparosco―picnepbreetomyinchildren:twocasereports.IntJUro【,l998,5:l81~t84l8JanetschetG,SelholdJ,RadmayrC,eta1.Laparoscopicheminephroureterectomy’inpediatricpatients.JUrot,1997,158:l928~193019CheeAR,ChandhokePS,Koy]eMA.Laparoscoplcnephrectomyinchildren.SeminLaparoscSurg,1998,5:47~5420TanHL.Laparoscopic~ndersomhynesdlsmenboredpye[op]astyinchildren.JUrol,1999,162:104j~104821GuillonneauB,VallancienG.Laparoscopieradicalprostatectomy:initialexperienceandpreliminaryassessmentafter65operationsProstate-l999-39:71~7622FornaraP.DoehnC,FickeL,eta【Laparoscopyinrenattransplantpatients,Urology.J997·49:521~j2723ChanDY,RaterLE,~avoussiL.Laparoscopicdonornephrectomy:standardofcareorunnecessaryrisk0forgantoss?CurrentOpinioninUrology,1999,9:2l9~2222那彦群,吴刚,郝金瑞,等.泌尿外科腹腔镜手术】4】例分析.中华外科杂志.1998.36:】43~145(收稿2000.一04―2(编辑周世慧)阴茎癌并阴囊神经鞘瘤1例袁鹏董强魏强石明橱宇如患者,78岁。因阴茎头溃烂,左阴囊肿块1年而人院1年前无明显诱因出现阴茎头瘙痒不适,阴茎头局部溃破,伴少量流血及淡黄色带臭味液体,并无意中扪及左侧阴囊内一鸡蛋大小包块,当时未予处理。体检:阴茎头肿胀,冠状沟周围有一直径约2.5cnl广基菜花样新生物生长,表面溃破,伴恶臭血性分泌物.双侧睾丸质地、大小均正常。左侧阴囊内可扪及一约jcm×5cm×4gnl、质中等、界限清、似与皮肤粘连、透光试验阴性的包块,余未见异常。血绒毛膜促性腺激素、甲胎球蛋白、癌胚抗原等均正常B超:左侧阴囊内可探及一约5cnl×412111、质不均、低回声团块影,双侧睾丸位置上移,大华西医科戈学附属第一医院泌尿外科(成都.610041)‘修小正常,回声均匀。提示:左阴囊肿瘤。拟诊:阴茎癌并左阴囊肿瘤。充分术前准备,于持续硬脊膜外腔麻醉下行阴茎癌根治加左阴囊肿瘤切除术,术中发现肿瘤来源于阴囊左外侧壁,遂完整摘除肿瘤。病理检查:见肿瘤包膜完整,切面灰白,呈鱼肉状,部分区域出血坏死囊性变。病理诊断:①阴茎鳞状上皮癌(中度分化);②阴囊内神经鞘瘤,细胞增生活跃.伴灶性坏死.未见恶变。讨论神经鞘瘤又称雪旺细胞瘤,起源于神经鞘膜细胞,以颅内、椎管内、头颈部多发,发生于阴囊者报道甚少本例阴茎癌与阴囊神经鞘瘤并发,实属罕见(收稿20000229)(编辑周世慧)
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