[1]钟明珠 吴荣海 廖勇彬 庞健 黄黎明 袁丹 邓硕.经尿道等离子肿瘤剜除术治疗高负荷浅表性膀胱癌[J].中华腔镜泌尿外科杂志(电子版),2015,(04):286-290.[doi:10.3877/cma.j.issn.1674-3253.2015.04.013 ]
　Zhong Mingzhu,Wu Ronghai,Liao Yongbin,et al.Plasmakinetic enucleation of bladder tumors for treatment of high-burden non-muscle-invasive bladder cancer[J].,2015,(04):286-290.[doi:10.3877/cma.j.issn.1674-3253.2015.04.013 ]
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经尿道等离子肿瘤剜除术治疗高负荷浅表性膀胱癌()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2015年04期
页码:
286-290
栏目:
临床研究
出版日期:
2015-12-30

文章信息/Info

Title:
Plasmakinetic enucleation of bladder tumors for treatment of high-burden non-muscle-invasive bladder cancer
作者:
钟明珠 吴荣海 廖勇彬 庞健 黄黎明 袁丹 邓硕
529030 广东，江门市中心医院，中山大学附属江门医院泌尿外科
Author(s):
Zhong Mingzhu; Wu Ronghai; Liao Yongbin;  Pang jian;  Huang Liming;  Yuan Dan;  Deng Shuo
Department of Urology, Jiangmen Central Hospital, the Affiliated Jiangmen Hospital of Sun Yat-Sen University, Guangdong 529030, China
关键词:
膀胱肿瘤; 经尿道肿瘤切除术; 剜除术; 等离子
DOI:
10.3877/cma.j.issn.1674-3253.2015.04.013
摘要:
目的评价经尿道等离子肿瘤剜除术（ PKEBT）治疗高负荷浅表性膀胱癌（ HB-NMIBC）的疗效和临床意义。方法直径大于 3 cm的单发或多发浅表性膀胱癌定义为 HB-NMIBC。分析 2013年 3月至 2014年 9月江门市中心医院泌尿外科施行 PKEBT的 20例 HB-NMIBC与同期施行传统经尿道膀胱肿瘤电切术（ TURBT）的 26例 HB-NMIBC患者的临床资料，对两组患者手术时间、围手术期并发症和控瘤效果进行比较。结果 PKEBT组平均手术时间（ 47.3±20.3）min，平均尿管留置时间（ 3.9±1.3）d，闭孔神经反射 5例，无一例膀胱穿孔。首次膀胱镜复查均未见肿瘤复发。平均随访（ 11.2±5.8）个月，已有 4例复发。TURBT组平均手术时间（ 53.1±27.2）min，平均尿管留置时间（ 6.2±4.1）d，闭孔神经反射 9例，膀胱穿孔 5例；首次膀胱镜复查肿瘤复发 6例。平均随访（ 13.2±5.4）个月，共有 10例复发。PKEBT组膀胱穿孔率、尿管留置时间及首次膀胱镜复查复发率均显著低于 TURBT组（ P<0.05）。两组手术时间、闭孔神经反射发生率和总体复发率的差异均无统计学意义（ P>0.05）。结论对 HB-NMIBC患者施行 PKEBT可获得满意的临床效果，其手术安全性和肿瘤切除彻底性与传统 TURBT术相比具有一定优势。

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：钟明珠，Email:zhongmz@163.com
更新日期/Last Update: 1900-01-01