经尿道膀胱肿瘤电切术(TURBT)治疗浸润性膀胱癌  

TURBT for the treatment of invasive bladder cancer

作　　者：罗宏[1] 周宏[1] 李元[1] 王传麟[1] 刘南[1] 朱葆捷[1] 毛林[1] 

机构地区：[1]重庆市肿瘤医院泌尿外科,重庆400030

出　　处：《现代肿瘤医学》2006年第11期1423-1424,共2页Journal of Modern Oncology

摘　　要：目的：探讨经尿道膀胱肿瘤电切术（TURBT）治疗浸润性膀胱癌的治疗效果。方法：分析27例采用TURBT治疗浸润性膀胱癌患者的临床随访资料，随访时间3～86个月，平均26．4个月。手术参照根治性TURBT手术原则，切除深度均达肌层或膀胱壁外脂肪层。结果：复发12例，总复发率44．4％（12／27）。死亡11例，死亡率41％（11／27）（其中3例死亡原因非膀胱肿瘤所致）。肿瘤复发后再次行TURBT者22例次，最多的病例达8次。结论：对于年老体弱不能耐受或不愿意接受膀胱全切的浸润性膀胱癌患者可施行TURBT，以达到延长生命，提高生活质量的目的。Objective：To evaluate the efficacy of transurethral resection of the bladder tumor （TURBT） for invasive bladder cancer. Methods ： To analyze the clinical data of 27cases of invasive bladder cancer patients treated by TURBT, 27 cases were followed - up for 3 to 86 months with a mean period of 26.4 months. The operation procedure was based upon the principle of transurethral resection of the bladder tumor,being resected to fatty layer outside the bladder wall. Results： The number of recurrence was 12, and the recurrence rate was 44.4% （12/27） , 1 1 cases dead, mortality rate was 29% （11/27）. The cases treated by TURBT again after tumor recurrence were 22. Conclusion： TURBT is suitable for old or weak patients with bladder cancer, which can prolong the suvvival time and impro- re the quality of patients life.

关 键 词：膀胱肿瘤 经尿道切除术 治疗 

分 类 号：R737.4[医药卫生—肿瘤]