非肌层浸润性膀胱癌再次经尿道电切的临床意义  

Clinical significance of repeat transurethral resection in the treatment of normuscle invasive bladder cancer

作　　者：李文华[1] 

机构地区：[1]北京大学深圳医院泌尿外科,广东深圳518036

出　　处：《中国现代医生》2014年第3期136-138,共3页China Modern Doctor

摘　　要：目的 探讨再次经尿道电切术（ReTUR）在非肌层浸润性膀胱癌诊治中的临床意义.方法 将83例非肌层浸润性膀胱癌患者分为两组,对照组41例接受单次经尿道电切术（TUR）,研究组42例在首次TUR后4-6周进行ReTUR手术.观察研究组肿瘤残留率和病变分期的重新评估情况,比较两组肿瘤复发率、复发时间和病情进展率.结果研究组ReTUR术后16例有残存肿瘤,7例术后病理分期与首次TUR术后不同.术后30个月研究组复发率和进展率均低于对照组（P〈0.05）,研究组复发时间优于对照组（P〈0.05）.结论 ReTUR手术在非肌层浸润性膀胱癌的诊治中具有重要意义.Objective To investigate the clinical significance of repeat transurethral resection （ReTUR） in the treatment of normuscle invasive bladder cancer. Methods A total of 83 patients with normuscle invasive bladder cancer were divided into two groups, 41 cases in the control group received single transurethral resection （TUR）, 42 cases in the study group received ReTUR in 4 to 6 weeks after first TUR, the residual rate of tumor and pathologic staging reassessment restaging were observed, compared the recurrence rate, time to recurrence and disease progress rate of two groups. Results Tumor residues after first TUR were found in 16 cases, pathologic staging of 7 cases were different from the first TUR after operation. The recurrence rate and the progress rate of the study group was lower than that of the control group（P〈0.05）, the recurrence time of the study group was better than that of control group （P〈0.05）. Conclusion ReTUR has important significance in diagnosis and treatment of normuscle invasive bladder cancer.

关 键 词：非肌层浸润性膀胱癌 经尿道电切术 肿瘤残存 肿瘤分期 复发 

分 类 号：R737.14[医药卫生—肿瘤]