[1]陶勇 彭玉兰 余刚.二次电切在非肌层浸润性膀胱癌的临床价值[J].中华腔镜泌尿外科杂志(电子版),2014,(04):274-277.[doi:10.3877/cma.j.issn.1674-3253.2014.04.010 ]
　Tao Yong,Peng Yulan,Yu Gang..The clinical value of repeat transurethral resection in non-muscle invasive bladder cancer[J].,2014,(04):274-277.[doi:10.3877/cma.j.issn.1674-3253.2014.04.010 ]
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二次电切在非肌层浸润性膀胱癌的临床价值()
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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:
2014年04期
页码:
274-277
栏目:
临床研究
出版日期:
2014-08-31

文章信息/Info

Title:
The clinical value of repeat transurethral resection in non-muscle invasive bladder cancer
作者:
陶勇 彭玉兰 余刚
524037广东，湛江中心人民医院泌尿外科
Author(s):
Tao Yong;  Peng Yulan;  Yu Gang.
Department of Urology, the Central People's Hospital of ZhanJiang, Guangdong 524037, China
关键词:
膀胱肿瘤; 电切; 残留; 复发; 生存
DOI:
10.3877/cma.j.issn.1674-3253.2014.04.010
摘要:
目的 探讨二次电切在非肌层浸润性膀胱癌的应用价值。方法 回顾性分析我院 37例非肌层浸润性膀胱癌患者的临床资料，所有患者进行首次电切后 6周内进行二次电切，观察首次电切后的肿瘤残留情况、两次电切时的手术情况及二次电切后患者的无瘤生存状况。结果 首次电切及二次电切的手术时间分别为（[ 67.4±12.5）min vs（55.8±8.4）min，t=5.167，P<0.01]、留置导尿管时间分别为（[ 9.8±2.1）d vs（9.4±1.9）d，t=0.730，P=0.468]，首次电切后有 6例患者（ 16.2%）存在肿瘤残留， 3例患者（8.1%）出现肿瘤分期升高，其中 1例由 T1期肿瘤上升至 T2期， 2例患者由 Ta期肿瘤上升至 T1期；二次电切后在 5~7年的长期随访中，复发 10例（ 27.0%），具体为术后的第 13、16、19、21、29、42、58、66、 73、76个月，随访期间共 3例患者死亡，死亡原因与膀胱肿瘤无关。结论 二次电切可有效的发现肿瘤残留并及时处理，提高无瘤生存时间。

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：陶勇，Email：zxytaoy@163.com
更新日期/Last Update: 2014-08-25