经尿道等离子电切术治疗侵犯肌层膀胱肿瘤54例疗效分析  

Transurethral plasma cutting operation in treatment of bladder carcinoma

作　　者：李鑫[1] 赵星星[1] 许芳[2] 冀占岭 胡琦[1] 李树森[1] 

机构地区：[1]包头市肿瘤医院泌尿肿瘤外科,内蒙古包头014030 [2]包头医学院职业技术学院,内蒙古包头014030

出　　处：《实用肿瘤杂志》2011年第6期639-640,共2页Journal of Practical Oncology

摘　　要：目的探讨经尿道等离子电切术(TURis-Bt)治疗侵犯肌层膀胱肿瘤的疗效。方法对已侵犯肌层的膀胱肿瘤101例,分别采用TURis-Bt术54例,切除肿瘤至膀胱外脂肪层,获得随访50例,随访时间24-60月;采用膀胱部分切除术47例,获得随访44例,随访时间1-60月。两组病例术后常规用吡柔比星进行膀胱灌注化疗。结果 TURis-Bt复发率29.6%(16/54),膀胱部分切除复发率29.8%(14/47),两组对比,肿瘤复发率差异无统计学意义(P﹥0.05)。结论对已侵犯肌层的膀胱肿瘤,TURis-Bt可作为泌尿外科医生选择的一种手术方法,特别适用于高危患者或不愿意接受开放手术(包括不愿意接受根治性全膀胱切除术)的患者。Objective To evaluate the safety and efficacy of transurethral plasma cutting operation（TURis-Bt） in treatment of bladder carcinoma.Methods The clinical data of 101 cases of bladder carcinoma invading muscular layer were retrospectively analyzed.Fifty-four patients underwent transurethral plasma cutting operation,among whom 50 were followed-up for 24-60 months.Forty-seven patients were treated with partial bladder resection and followedup for 1-60 months.Both groups received bladder instillation of pirarubicin（THP） .Results The recurrence rate of TURis-Bt group was 29.6%（16/54） ,while that of partial bladder resection group was 29.8%（14/47） .There was no significant difference between two groups.Conclusion TURis-Bt can be used to treat bladder carcinoma invading muscular layer,especially for high-risk patients or patients who are unwilling to accept open surgery.

关 键 词：膀胱肿瘤/外科学 电外科手术 离子 膀胱切除术 复发 随访研究 治疗结果 

分 类 号：R737.14[医药卫生—肿瘤]