β刀经尿道膀胱黏膜剥脱治疗浅表性膀胱憩室癌的应用体会  

Application of transurethral stripping of bladder mucosa withβ-knife in the treatment of superficial bladder diverticular carcinoma

作　　者：刘宪军 孙圣坤[1] 王恒恩 樊伟哲 LIU Xianjun;SUN Shengkun;WANG Heng'en;FAN Weizhe(Department of Urology,Chinese PLA General Hospital,Beijing,100853,China;Department of Urology,Third People's Hospital in Liaocheng,Liaocheng,Shandong,252000,China)

机构地区：[1]中国人民解放军总医院泌尿外科医学部,北京100853 [2]聊城市第三人民医院泌尿外科,山东聊城252000

出　　处：《临床泌尿外科杂志》2024年第9期829-831,838,共4页Journal of Clinical Urology

摘　　要：目的探讨β刀经尿道膀胱黏膜剥脱治疗浅表性膀胱憩室癌应用体会。方法选取中国人民解放军总医院2021年5月—2023年6月应用β刀治疗浅表性膀胱憩室癌的8例患者,观察手术时间、术中出血量、术中膀胱穿孔情况、术后留置导尿管时间以及术后复发情况。结果所有患者均成功行β刀黏膜剥脱术,平均手术时间为(34±9)min,平均术中出血量为(10±6)mL,均未发生膀胱穿孔,平均术后冲洗为(8±4)h,平均留置导尿管时间为(2±1)d,平均随访时间为(20±6)个月,1例出现异位复发。结论β刀经尿道黏膜剥脱治疗浅表性膀胱憩室癌安全、有效;能避免膀胱穿孔及较大的手术创伤,降低手术相关风险及围手术期相关并发症,最大限度提高患者生存质量,可以在一定程度上预防膀胱肿瘤的复发,延长患者的生命,为部分膀胱憩室癌患者保留膀胱提供了机会。Objective To explore the experience of transurethral bladder mucosal stripping withβ-knife in the treatment of superficial bladder diverticular carcinoma.Methods A total of 8 patients with superficial bladder diverticular cancer were treated byβ-knife in Chinese PLA General Hospital from May 2021 to June 2023.Operative time,intraoperative blood loss,perforation of diverticulum,indwelling catheterization time and postoperative recurrence were observed.Results The medical records of 8 patients were collected,and all of whom were successfully treated byβ-knife mucosal exfoliation.The operation time was(34±9)min,and intraoperative bleeding was(10±6)mL.No bladder perforation occurred.Postoperative irrigation was(8±4)h,and urinary catheter indwelling time was(2±1)day.The follow-up time was(20±6)months,and 1 case had ectopic recurrence.Conclusion The treatment of superficial bladder diverticular carcinoma by transurethral stripping withβ-knife is safe and effective.It can avoid bladder perforation and major surgical trauma and reduce surgery-related risks and perioperative complications so as to improve the quality of life of patients,prevent the recurrence of bladder tumor to a certain extent and prolong the life of patients.This provides an opportunity for bladder preservation in some patients with diverticular cancer of the bladder.

关 键 词：膀胱憩室癌 浅表性膀胱癌 经尿道膀胱黏膜剥脱 β刀 

分 类 号：R737.14[医药卫生—肿瘤]