膀胱部分切除术与经尿道气化电切术治疗浅表性膀胱癌的比较  

Comparison of partial cystectomy and transurethral vaporization resection in treatment of superficial bladder cancer

作　　者：刘平民 魏福奎 孔德军 

机构地区：[1]陕西电子409医院泌尿外科,陕西宝鸡721006

出　　处：《中国现代医学杂志》2011年第12期1496-1498,1501,共4页China Journal of Modern Medicine

摘　　要：目的探讨膀胱部分切除术与经尿道气化电切术治疗浅表性膀胱癌的疗效。方法对231例浅表性膀胱癌行膀胱部分切除和经尿道化电切的资料进行回顾性研究。结果膀胱部分切除术113例,其中Ta 32例,T1 60例,T2 21例;经尿道气化电切术118例,其中Ta 35例,T1 63例,T2 20例。两组术后均行膀胱灌注化疗,随访3月~5年,膀胱部分切除组随访83例,复发27例,复发率32.53%;经尿道气化电切组随访92例,复发24例,复发率26.09%。膀胱部分切除组的复发率高于经尿道气化电切组。结论对浅表性膀胱癌的治疗经尿道气化电切术优于膀胱部分切除术。【Objective】 To explore the methods and clinical effects of partial cystectomy and transurethral vaporization resection in treatment of superficial bladder cancer.【Methods】 231 patients,who received partial cystectomy and transurethral vaporization resection in treatment for superficial bladder cancer,were analyzed retrospectively.【Results】 113 patients underwent partial cystectomy;of this group,32 patients were in Ta,60 patients in T1 and 21 patients in T2.118 patients underwent TUVBT,of which 35 patients were in Ta,63 patients in T1 and 20 patients in T2.After partial cystectomy and TUVBT,all the patients underwent intravesical chemotherapy.At follow-up of 3 months^5 years,in 83 patients with partial cystectomy 27 patients had recurrence（32.53%）;in 92 patients with TUVBT,recurrence appeared in 24 patients（26.09%）.Recurrence rate of partial cystectomy was higher than that of TUVBT.【Conclusion】 TUVBT has better effect than partial cystectomy for superficial bladder cancer.

关 键 词：膀胱部分切除术 经尿道气化电切术 膀胱癌 

分 类 号：R699.5[医药卫生—泌尿科学]