国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2014年
6期
864-867
,共4页
膀胱肿瘤%膀胱电切术
膀胱腫瘤%膀胱電切術
방광종류%방광전절술
Urinary Bladder Neoplasms%Cystectomy
目的 比较经尿道膀胱肿瘤电切术与开放部分切除术在治疗膀胱三角区及其周围肿瘤的手术方法、临床效果以及预后.方法 回顾性分析2011年1月～ 2013年3月58例膀胱三角区肿瘤患者的病例资料,通过对手术时间、术中出血量、术后住院时间、复发及转移等数据进行统计,对两种术式的操作步骤及手术经验进行比较、总结.随访5～31个月,观察其复发情况.结果 对于三角区非肌层浸润性肿瘤电切手术与开放手术比较,在手术时间、出血量、术后住院天数均有明显优势,差异有统计学意义(P＜0.05),同时没有增加术后复发、转移、肿瘤种植及肾积水等并发症的风险,创伤小、恢复快、美观;对于局限在膀胱内的浸润性膀胱肿瘤(T2期),开放部分切除术明显降低了术后复发,减少了手术并发症.结论 对于三角区非肌层浸润性肿瘤,首选电切;对于局限在膀胱内的浸润性膀胱肿瘤(T2期)首选开放手术.
目的 比較經尿道膀胱腫瘤電切術與開放部分切除術在治療膀胱三角區及其週圍腫瘤的手術方法、臨床效果以及預後.方法 迴顧性分析2011年1月～ 2013年3月58例膀胱三角區腫瘤患者的病例資料,通過對手術時間、術中齣血量、術後住院時間、複髮及轉移等數據進行統計,對兩種術式的操作步驟及手術經驗進行比較、總結.隨訪5～31箇月,觀察其複髮情況.結果 對于三角區非肌層浸潤性腫瘤電切手術與開放手術比較,在手術時間、齣血量、術後住院天數均有明顯優勢,差異有統計學意義(P＜0.05),同時沒有增加術後複髮、轉移、腫瘤種植及腎積水等併髮癥的風險,創傷小、恢複快、美觀;對于跼限在膀胱內的浸潤性膀胱腫瘤(T2期),開放部分切除術明顯降低瞭術後複髮,減少瞭手術併髮癥.結論 對于三角區非肌層浸潤性腫瘤,首選電切;對于跼限在膀胱內的浸潤性膀胱腫瘤(T2期)首選開放手術.
목적 비교경뇨도방광종류전절술여개방부분절제술재치료방광삼각구급기주위종류적수술방법、림상효과이급예후.방법 회고성분석2011년1월～ 2013년3월58례방광삼각구종류환자적병례자료,통과대수술시간、술중출혈량、술후주원시간、복발급전이등수거진행통계,대량충술식적조작보취급수술경험진행비교、총결.수방5～31개월,관찰기복발정황.결과 대우삼각구비기층침윤성종류전절수술여개방수술비교,재수술시간、출혈량、술후주원천수균유명현우세,차이유통계학의의(P＜0.05),동시몰유증가술후복발、전이、종류충식급신적수등병발증적풍험,창상소、회복쾌、미관;대우국한재방광내적침윤성방광종류(T2기),개방부분절제술명현강저료술후복발,감소료수술병발증.결론 대우삼각구비기층침윤성종류,수선전절;대우국한재방광내적침윤성방광종류(T2기)수선개방수술.
Objectives To investigate the surgical technique,clinical effectiveness and prognosis of transurethral resection of bladder tumor (TURBT) and partial cystectomy for bladder cancer (hemicyclic) in the treatment of the tumor in cystic triangle area and its adjacent area.Methods We retrospectively analysed the records of 58 patients who underwent the operation of bladder trigone tumor from January 2011 to march 2013.Variables analyses were compared including operating procedure,operative time,estimated intraoperative hemorrhage,and hospital stay.To observe the recurrence and metastasis,we followed up the patients for 5 ～ 31 months.Results For non muscle invasive tumor in cystic triangle area,there was significant difference between TURBT group and hemicyclic group in operative time the amount of hemorrhage,and hospital stay after operation (P ＜ 0.05).At the same time,there was no increased risk of recurrence,metastasis,tumor implantation and postoperative uronephrosis.However,for muscle invasive tumor limited in bladder in cystic triangle area,partial cystectomy significantly can reduce the recurrence and postoperative complications.Conclusions The TURBT is the first choice for non muscle invasive tumor in cystic triangle area.However,for muscle invasive tumor limited in bladder in cystic triangle area,partial cystectomy is the best choice.
