CAJ | 학술논문

目的探讨浅表性膀胱肿瘤术后预后的各种影响因素.方法回顾性分析186例浅表性膀胱肿瘤患者保留膀胱手术治疗的资料,研究肿瘤临床病理特征及治疗措施对手术预后的影响.结果本组病例中,复发65例,初诊时为多发、大于3 cm、病理为G2级以上的高危肿瘤复发率分别要高于单发、小于3 cm、病理为C1级的中低危肿瘤;对于保留膀胱的手术方式,经尿道膀胱肿瘤电切术与膀胱部分切除无明显差异.而术后膀胱灌注丝裂霉素能明显减少膀胱肿瘤术后的复发.结论膀胱肿瘤的临床病理特征及其术后灌注药物是影响浅表性膀胱癌预后的重要因素.
목적 탐토천표성방광종류술후예후적각충영향인소.방법 회고성분석186례천표성방광종류환자보류방광수술치료적자료,연구종류림상병리특정급치료조시대수술예후적영향.결과본조병례중,복발65례,초진시위다발、대우3 cm、병리위G2급이상적고위종류복발솔분별요고우단발、소우3 cm、병리위C1급적중저위종류;대우보류방광적수술방식,경뇨도방광종류전절술여방광부분절제무명현차이.이술후방광관주사렬매소능명현감소방광종류술후적복발.결론 방광종류적림상병리특정급기술후관주약물시영향천표성방광암예후적중요인소.
Objectives To observe the prognostic factors in patients with superficial bladder cancer on recurrence after operation with bladder Dreservation.Methods Data of 186 cases of superficial bladder cancer after operation with bladder preservation were retrospectively studied.Evaluate correlations of clinieopathoiogical and treatments factors and recurrence after operation with bladder preservation.Results Of this group,65 cases relapsed.The recurrence rate was more in patients with Hairiness,larger diameter (＞3cm.)and higher clinical stage(＞G2)than in single,less,(＜3cm.)and lower clinical stage(＜G2);There was no significant difference in treatment factors of transurethral resection of the bladder(TURBT)and partial bladder resection;There was a lower recurrence rate in mitomycin bladder instillation patients.Conclusions Factors of clinicopathological and bladder instillation was contributted to the prognostic factors in patients with superficial bladder cancer on recurrence after operation with bladder preservation.