经尿道膀胱肿瘤电切术治疗浅表性膀胱肿瘤.docVIP

经尿道膀胱肿瘤电切术治疗浅表性膀胱肿瘤[摘要] 目的 探讨经尿道膀胱肿瘤电切术(TURBT)治疗浅表性膀胱肿瘤的治疗效果。方法 分析经尿道膀胱肿瘤电切术治疗28例浅表性膀胱肿瘤患者的临床随访资料,随访时间为2～38个月,平均24.6个月。结果 28例患者均一次手术成功,手术平均时间17min(5～30min),无膀胱穿孔及术后继发出血等并发症。术后留置导尿管3～7d,术后定期使用丝裂霉素等药物膀胱内灌注化疗,术后随访平均24.6个月,4例复发(14.3%),肿瘤复发后再次行TURBT。结论 经尿道膀胱肿瘤电切术治疗浅表性膀胱肿瘤具有操作简单、损伤小、恢复快、可多次重复及安全性高等优点,是治疗浅表性膀胱肿瘤的有效方法。 [关键词] 浅表性膀胱肿瘤; 经尿道膀胱肿瘤电切术 [中图分类号] R730.56;R737.14 [文献标识码] A [文章编号] 1673-9701(2010)09-130-02 TURBT for the Treatment of Superficial Bladder Tumor ZHANG Guotian ZHANG Daoxi ZHOU Yilong WANG Chengyuan SONG Guoxiang OUYANG Rumin ZHAO Zhenli Department of Urology,Miner General Hospital of Huaibei,Huaibei 235000,China [Abstract] ObjectiveTo evaluate the efficacy of transurethral resection of bladder tumor(TURBT) for treating superficial bladder tumor.MethodsTo analyze the clinical date of 28 case of superficial bladder tumor patients treated by TURBT,28 cases were followed-up for 2 to 38 months with a mean period of 24.6 months. ResultsAll cases of superficial bladder tumor could tolerate the surgery,the mean operation time was 17 minutes(5～30minutes). Neither intraoperative bladder perforation nor secondary hemorrhage occurred. Indwelling urethral catheter time ranged from 3～5days. Postoperatively,drugs such as mitomycin were used through intravesical instillation for chemotherapy. All patients have been followed up for a mean of 24.6 months,4 patients(14.3%)had out-of-field recurrence. The case treated by TURBT again after tumor recurrence. ConclusionTURBT has advantages such as simple surgical manipulation,les lesion,faster recovery,repeatedly performable process and safety. It is an ideal therapy for treating superficial bladder tumor. [Key words]Superficial bladder tumor; Transurethral resection of bladder tumor 膀胱肿瘤是泌尿系统最常见的肿瘤,其中浅表性膀胱肿瘤占75%～85%。2007年1月～2009年12月我院采用经尿道膀胱肿瘤电切术治疗浅表性膀胱肿瘤28例,疗效满意,现报道如下。 1 资料与方法 1.1 临床资料 本组28例,男20例,女8例;年龄33～76岁,平均年龄61岁。28例均经B超、CT或膀胱镜检查发现肿瘤,单发肿瘤18例,多发性肿瘤10例,肿瘤有蒂21例,肿瘤直径2.0cm 4例。术前均由膀胱镜活检确诊,其中移行细胞癌Ⅰ级1