非肌层浸润性膀胱癌经尿道等离子双极膀胱肿瘤电切术联合膀胱灌注化疗治疗57例分析.pdfVIP

昆明医学院学报 2010 ，（12）：86～ 88 CN 53 - 1049/ R Journal of Kunming Medical University 非肌层浸润性膀胱癌经尿道等离子双极膀胱肿瘤电切术联合膀胱灌注 化疗治疗57 例分析 汤 祺，于跃平，解忠，汪建平，金 松，李 松 （云南省第二人民医院泌尿外科，云南昆明 650021） ［摘要］目的 探讨经尿道等离子双极膀胱肿瘤电切术治疗非肌层浸润性膀胱癌，术后采用羟基喜树碱进 行膀胱灌注化疗的临床疗效．方法 采用经尿道等离子双极膀胱肿瘤电切术，术后以羟基喜树碱（40 mg/ 40 mL）行膀胱灌注化疗的方法治疗非肌层浸润性膀胱癌57 例．结果 57 例非肌层浸润性膀胱癌均一次性切除， 术后随访3 个月至24 个月，5 例复发，再次行经尿道等离子双极膀胱肿瘤电切术，术后以羟基喜树碱（40 mg/ 40 mL）行膀胱灌注化疗的方法治疗，术后随访至今未复发．结论 经尿道等离子双极膀胱肿瘤电切术联合羟 基喜树碱术后膀胱灌注化疗治疗非肌层浸润性膀胱癌，安全可靠，创伤小，并发症少，复发率低，可重复使 用，疗效确切． ［关键词］非肌层浸润性膀胱癌；经尿道等离子双极膀胱肿瘤切除术；羟基喜树碱；膀胱灌注 ［中图分类号］R737.14 ［文献标识码］A ［文章编号］1003－4706 （2010）12－0086 －04 Bipolar Plasma Transuret hral Resect ion of Bladder Tumor Combined wit h Int ravesical Chemot herapy for t he Treat ment of Non Muscle- invasive Bladder Cancer in Cases TANG Qi，YU Yue －ping，XIE Zhong，WANG Jian －ping，JIN Song，LI Song （Dept. of Urology ，The 2nd People ’s Hospital of Yunnan Province ，Kunming Yunnan 650021，China） ［Abstract］Objective To investigate clinical effects of bipolar plasma transurethral resection of bladder tumor combined with postoperative intravesical chemotherapy by hydroxycamptothecine in the treatment of non muscle- invasive bladder cancer ．Method 57 patients with non muscle- invasive bladder cancer were treated with bipolar plasma transurethral resection of bladder tumor combined with postoperative intravesical chemotherapy by hydroxycamptothecine （40 mg/40 mL）. Results 57 patients with non muscle- invasive bladder cancer all were once ablated ，5 patients relapsed during 3 months to 24 months of postoperative follow- up，which were treated by bipolar plasma transurethral resection of bladder tumor combined w