膀胱肿瘤二次电切最适指征和操作规范的再探讨  

The optimal indications and standardized surgical procedures of second TURBT for bladder cancer

作　　者：吴开杰[1] 张兴 贺大林[1] WU Kai-jie;ZHANG Xing;HE Da-lin(Department of Urology,First Affiliated Hospital of Xi'an Jiaotong University,Xi an 710061,China)

机构地区：[1]西安交通大学第一附属医院泌尿外科,陕西西安710061

出　　处：《现代泌尿外科杂志》2020年第7期570-574,共5页Journal of Modern Urology

摘　　要：二次电切术在清除首次经尿道膀胱肿瘤电切术后残余肿瘤、纠正分期错误及修正治疗方案方面具有积极意义,可降低术后复发及进展风险,改善患者预后。但二次电切将不可避免地增加患者的经济负担,带来围手术期风险,并可能影响术后膀胱灌注治疗。因此,在临床工作中如何更好地甄别最需要的患者并实施最规范的手术操作至关重要。本文结合诊治指南、文献报道及个人临床经验,对二次电切的最适指征及手术的规范化操作做简要评述,以期为基层医院和医生更好地开展这部分临床工作提供参考。Second transurethral resection of bladder tumor(TURBT)is critical to remove residual tumors,correct error in staging and select appropriate treatment regimen after the first TURBT.It helps to reduce risks of postoperative recurrence and progression and improve prognosis of patients.However,second TURBT will inevitably increase the economic burden of patients,bring more perioperative risk and affect postoperative bladder instillation.Therefore,how to identify patients who need it and perform standardized procedure are crucial.In this paper,based on guidelines of diagnosis and treatment,literature and clinical experience,we briefly reviewed the optimal indications and the standardized surgical procedures of second TURBT in order to provide reference for doctors in grass-root hospitals.

关 键 词：膀胱肿瘤 二次电切 逼尿肌 指征 手术规范 

分 类 号：R737.14[医药卫生—肿瘤]