标题：肌层浸润性膀胱癌根治性手术治疗进展

      作者：张雪 1 综述 曾冬阳 2，许思怡 3，周邦奋 3，符津山 3 审校    1.海南医学院研究生院，海南 海口 571199；2.海南医学院国际护理学院，海南 海口 571199；3.海南医学院第一附属医院泌尿外科，海南 海口 570102

      卷次： 2021年32卷3期

      【摘要】 目前，肌层浸润性膀胱癌的治疗方案主要是根治性膀胱切除、盆腔淋巴结清扫及尿流改道重建，但术后出现局部复发、远处转移风险较高，除此之外还要对新膀胱进行功能训练，新辅助化疗在一定程度上可提高患者生存率，复发率降低。本文对肌层浸润性膀胱癌根治性手术不同的治疗方法进行综述。
      【关键词】 肌层浸润性膀胱癌；根治性膀胱切除；尿流改道；放疗；化疗
      【中图分类号】 R737.14 【文献标识码】 A 【文章编号】 1003—6350（2021）03—0368—04

Research progress of radical surgical treatment of muscle invasive bladder cancer.
ZHANG Xue 1, ZENG Dong-yang 2,XU Si-yi 3, ZHOU Bang-fen 3, FU Jin-shan 3. 1. Graduate School, Hainan Medical College, Haikou 571199, Hainan,CHINA; 2. School of Nursing, Hainan Medical College, Haikou 571199, Haikou, CHINA; 3. Department of Urology, the FirstAffiliated Hospital of Hainan Medical College, Haikou 570102, Hainan, CHINA【Abstract】 At present, the main treatment options for muscle invasive bladder cancer are radical cystectomy, pel-vic lymph nodes dissection and urinary diversion reconstruction. However, the risk of local recurrence and distant metas-tasis are higher after surgery. In addition, the new bladder needs to do functional training. To a certain extent, neoadju-vant chemotherapy can improve the survival rate and reduce the recurrence rate. This article reviews the different treat-ment methods of radical surgery for muscular invasive bladder cancer.
      【Key words】 Muscle invasive bladder cancer; Radical cystectomy; Urinary diversion; Radiotherapy; Chemotherapy·综述·doi:10.3969/j.issn.1003-6350.2021.03.026