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目的既切除膀胱三角区及其周围的肿瘤，又保留病人的排尿功能。方法根据Ｗａｌｓｈ前列腺癌根治术加以改进，行膀胱下端包括膀胱三角区及膀胱颈、前列腺、精囊和下端输尿管的下半膀胱切除术。结果为７例病人施行该手术，全部随访６月～３ａ，效果良好，术后排尿功能正常。结论对位于膀胱颈及三角区的肿瘤，该术式较膀胱全切回肠膀胱术及其他膀胱替代术优越，无严重并发症，术后病人的生活质量好，是一个有价值的术式，但要严格掌握手术适应证。
The purpose of both excision of the bladder trigone and surrounding tumors, but also retain the patient’s urinary function. Methods According to Walsh radical prostatectomy to improve the line under the bladder, including the bladder trigone and bladder neck, prostate, seminal vesicle, and the lower ureter under the lower cystectomy. Results The operation was performed in 7 patients. All patients were followed up for 6 months to 3 years. The results were good and the voiding function was normal. CONCLUSIONS: Tumors located in the bladder neck and trigone area are superior to bladder total ileostomy and other bladder replacement procedures and have no serious complications. Patients with good postoperative quality of life are valuable surgical procedures. However, Strict control of surgical indications.