窄带显像膀胱镜引导经尿道膀胱肿瘤电切术在预防膀胱肿瘤术后复发中的应用价值  

Application value of narrow band imaging in prevention of recurrence of bladder tumor after transurethral resection of bladder tumor

作　　者：杨冰[1] 周哲[1] 何赛男[1] 潘东亮[1] 晋连超[1] 金石华[1] 李宁忱[1] Yang Bing Zhou Zhe He Sainan et al(Department of Urology, Peking University Shougang Hospital, Beijing 100144, China)

机构地区：[1]北京大学首钢医院泌尿外科,北京100144

出　　处：《国际泌尿系统杂志》2017年第4期508-511,共4页International Journal of Urology and Nephrology

摘　　要：目的 探讨窄带显像膀胱镜（barriw band imaging,NBI）引导下经尿道膀胱肿瘤电切术在预防、降低膀胱肿瘤术后复发中的应用价值.方法 筛选2012年1月至2015年6月本院收治的非肌层浸润性膀胱肿瘤患者120例作为研究对象.根据患者治疗方式将其分为观察组与对照组,对照组63例患者采用常规白光下经尿道等离子电切术治疗,观察组57例患者则在NBI引导下型经尿道膀胱肿瘤电切术治疗,比较两组患者手术相关指标及临床预后结局.结果 120例患者均顺利完成手术.两组患者手术用时、尿管留置时间、住院时间以及术后并发症发生率比较差异无统计学意义（P〉0.05）;术后随访结果显示,对照组患者术后膀胱肿瘤复发率明显高于观察组（P〈0.05）,并且观察组平均无复发生存时间明显高于对照组（P〈0.05）.结论 NBI引导经尿道膀胱肿瘤电切术治疗膀胱肿瘤疗效确切,同时可有效降低术后患者肿瘤复发率,具有临床应用及推广价值.Objectives To explore the application value of narrow band imaging （NBI） guided transurethral resection of bladder tumor（TURBT） in the prevention and reduction of postoperative recurrence of bladder tumor.Methods A total of 120 cases of non muscle invasive bladder cancer were selected from January 2012 to June 2015 in our hospital.The patients were divided into observation group and control group, the control group of 63 patients with conventional white surgery in the treatment of transurethral resection, the observation group of 57 patients were treated with the NBI guide type by transurethral bladder tumor resection, two groups of patients with operation related index and clinical prognosis outcome were compared.Results All patients were successfully completed surgery, no medical accident, bladder perforation and other malignant events occurred.Catheter indwelling time, hospitalization time and postoperative complication rate in the two groups had no significant difference （P〉0.05）.Postoperative follow-up results showed that postoperative recurrence rate of patients with bladder tumor in the control group was significantly higher than that of the observation group （P〈0.05） and observe group mean recurrence survival time was significantly higher than that of control group （P〈0.05）.Conclusions Curative effect of NBI-TURBT in the treatment of bladder tumor is accurate, and it can effectively reduce the postoperative recurrence rate, with clinical application and generalization.

关 键 词：膀胱肿瘤 电外科手术 膀胱镜 肿瘤复发 局部 

分 类 号：R737.14[医药卫生—肿瘤]