经尿道电切术治疗中晚期浸润性膀胱癌的探讨  

Transurethral resection for the treatment of advanced invasive bladder cancer

作　　者：郭顺利[1] 赵亚平[1] 翟保生[1] 刘洪久[1] 杨小娜[1] 

机构地区：[1]石家庄市中心医院泌尿外科,050011

出　　处：《临床外科杂志》2010年第10期703-704,共2页Journal of Clinical Surgery

摘　　要：目的探讨经尿道电切术治疗中晚期浸润性膀胱癌的疗效。方法对81例中晚期膀胱癌患者施行了经尿道膀胱肿瘤电切术（TURBT），手术参照根治性TURBT原则，切除深度均达深肌层或膀胱壁外脂肪层，术后给予卡介苗（BCG）膀胱灌注化疗或放疗，随访3～24个月。结果复发32例，复发率39．5％（32／81），对复发者再次行TURBT。死亡18例，死亡率22．2％（18／81）。结论对年老体弱不能耐受或不愿意接受膀胱全切的中晚期膀胱癌患者可施行TURBT，以达到延长生命，提高生活质量的目的。Objective To evaluate the clinical efficacy of transurethral resection （TURBT） for the treatment of advanced invasive bladder cancer. Methods Eighty - one patients with advanced in- vasive bladder cancer were treated by TURBT. The operation procedure was in compliance with the principle of radical TURBT for bladder tumor. The incision reached the deep muscular layer and fatty layer out- side the bladder wall. After the operation, BCG irrigation of bladder or radiotherapy was performed. All pa- tients were followed up for 3 to 24 months. Results The tumor recurred in 32 patients（39.5% ）. And these patients were re-treated by TURBT. The mortality rate in this cohort was 22.2% （ 18/81 ）. Conclusion TURBT is suitable for those who are old and weak, are not willing to receive or cannot tolerate cystectomy or open surgery. It can prolong the survival time and improve the quality of life of patients.

关 键 词：膀胱肿瘤 浸润性 经尿道电切术 

分 类 号：R687.32[医药卫生—骨科学]