CAJ | 학술논문

目的探讨膀胱癌合并前列腺增生患者同期行经尿道膀胱肿瘤电切术及前列腺电切术的可行性.方法回顾性分析48例膀胱癌合并前列腺增生患者的手术方法及术后复发率、复发时间等临床资料.其中26例患者同期行经尿道膀胱肿瘤电切术及前列腺电切术(A组);22例单纯行经尿道膀胱肿瘤电切术(B组).结果 48例患者均获随访,时间12～36个月,A组有3例(11.5％)术后复发,平均复发时间16.8个月,无后尿道及前列腺窝转移;B组有4例(18.2％)术后复发,平均复发时间为15.4个月,6例患者在随访期间因前列腺增生再次行经尿道前列腺电切术.A组患者的复发率低于B组,复发时间长于B组,差异均有统计学意义(P＜0.05),且A组患者无后尿道及前列腺窝转移,均未再次行经尿道膀胱肿瘤电切术.结论膀胱癌合并前列腺增生患者行同期手术是可行的,只要采取合理预防措施,不会增加肿瘤在后尿道创面种植转移的发生率.
목적 탐토방광암합병전렬선증생환자동기행경뇨도방광종류전절술급전렬선전절술적가행성.방법 회고성분석48례방광암합병전렬선증생환자적수술방법급술후복발솔、복발시간등림상자료.기중26례환자동기행경뇨도방광종류전절술급전렬선전절술(A조);22례단순행경뇨도방광종류전절술(B조).결과 48례환자균획수방,시간12～36개월,A조유3례(11.5％)술후복발,평균복발시간16.8개월,무후뇨도급전렬선와전이;B조유4례(18.2％)술후복발,평균복발시간위15.4개월,6례환자재수방기간인전렬선증생재차행경뇨도전렬선전절술.A조환자적복발솔저우B조,복발시간장우B조,차이균유통계학의의(P＜0.05),차A조환자무후뇨도급전렬선와전이,균미재차행경뇨도방광종류전절술.결론 방광암합병전렬선증생환자행동기수술시가행적,지요채취합리예방조시,불회증가종류재후뇨도창면충식전이적발생솔.
Objective Objective To approach the feasibility of TURBt combined with TURP for bladder transitional cell carcinoma with BPH.Methods The clinical data of 48 cases of patients with bladder transitional cell carcinoma and BPH were retrospectively reviewed.Among the 48 patients,26 had undergone TURBt and TURP at the same time,and the rest of 22 TURBt alone.Results The follow-up period ranged from 12 ～ 36 moths.Recurrence occurred to 3 of the combimed therapy group but no urethral and prostatic implantation or metastases and 4 of the TURBt-alone group.The mean interval of recurrence after the initial therapy is 16.8 and 15.4 months respectively.Conclusions TURBt combined with TURP for bladder transitional caocinoma with BPH is a sound treatment of choice.