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经尿道等离子电切术治疗侵犯肌层膀胱肿瘤54例疗效分析
引用本文:李鑫,赵星星,许芳,冀占岭,胡琦,李树森. 经尿道等离子电切术治疗侵犯肌层膀胱肿瘤54例疗效分析[J]. 实用肿瘤杂志, 2011, 26(6): 639-640
作者姓名:李鑫  赵星星  许芳  冀占岭  胡琦  李树森
作者单位:1. 包头市肿瘤医院泌尿肿瘤外科,内蒙古包头,014030
2. 包头医学院职业技术学院,内蒙古包头,014030
摘    要:目的 探讨经尿道等离子电切术(TURis-Bt)治疗侵犯肌层膀胱肿瘤的疗效.方法 对已侵犯肌层的膀胱肿瘤101例,分别采用TURis-Bt术54例,切除肿瘤至膀胱外脂肪层,获得随访50例,随访时间24-60月;采用膀胱部分切除术47例,获得随访44例,随访时间1-60月.两组病例术后常规用吡柔比星进行膀胱灌注化疗.结果 TURis-Bt复发率29.6% (16/54),膀胱部分切除复发率29.8%( 14/47),两组对比,肿瘤复发率差异无统计学意义(P>0.05).结论 对已侵犯肌层的膀胱肿瘤,TURis-Bt可作为泌尿外科医生选择的一种手术方法,特别适用于高危患者或不愿意接受开放手术(包括不愿意接受根治性全膀胱切除术)的患者.

关 键 词:膀胱肿瘤/外科学  电外科手术  离子  膀胱切除术  复发  随访研究  治疗结果

Transurethral plasma cutting operation in treatment of bladder carcinoma
LI Xin,ZHAO Xing-xing,XU Fang,et al. Transurethral plasma cutting operation in treatment of bladder carcinoma[J]. Journal of Practical Oncology, 2011, 26(6): 639-640
Authors:LI Xin  ZHAO Xing-xing  XU Fang  et al
Affiliation:LI Xin,ZHAO Xing-xing,XU Fang,et al(Department of Urological Oncology,Baotou Cancer Hospital,Baotou,014030,China)
Abstract:Objective To evaluate the safety and efficacy of transurethral plasma cutting operation(TURis-Bt) in treatment of bladder carcinoma.Methods The clinical data of 101 cases of bladder carcinoma invading muscular layer were retrospectively analyzed.Fifty-four patients underwent transurethral plasma cutting operation,among whom 50 were followed-up for 24-60 months.Forty-seven patients were treated with partial bladder resection and followedup for 1-60 months.Both groups received bladder instillation of pirarubi...
Keywords:urinary bladder neoplasms/surgery  electrosurgery  ions  cystectomy  recurrence  follow-up studies  treatment outcome  
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