摘要
目的：探讨经尿道膀胱肿瘤电切术（TUR-Bt）联合经尿道膀胱肿瘤汽化电切术（TVBT）治疗膀胱肿瘤及术后膀胱内灌注吡柔比星（THP）的方法及疗效。方法：采用TUR-Bt联合TVBT及术后行膀胱内灌注THP治疗膀胱肿瘤。结果：22例膀胱肿瘤均一次切除，1例膀胱穿孔改开放手术；平均手术时间：单发瘤20min，多发瘤50min;术后留置尿管4～6d，术后平均住院7d；THP膀胱灌注每周1次，共8周，以后每月1次，连用8个月；随访3个月～4年，无一例复发。结论：TUR-Bt联合TVBT及术后THP灌注治疗膀胱肿瘤，具有操作简单、出血少、并发症少、复发率低、安全性高等优点，且疗效满意。
Objective. To evaluate the method and effect of transurethral resection of bladder tumor （TUR-Bt） and transurethral vaporization of bladder tumor （TVBT） combined with intravesical instillation of pirarubiein （THP） for treatment of bladder cancer. Methods： The bladder cancer was treated with TUR-Bt and TVBT combined with intravesical instillation of THP after operation, Results： 22 cases were operated successfully first time,only 1 case was treated by partial eystectomy;THP was instilled into bladder, then stayed for 60-120 min. In the following eight weeks, intravesical instillation of THP was administered once a week. After eight weeks, it was done once a month for eight months. Metastases did not found after operation during follow-up of 3 months to 48 months. Conclusion; TUR-Bt, TVBT and THP of intravesical instillation, with simplicity in maneuver, less bleeding and fewer complications, are the safe and effective way in the treatment of bladder cancer.
出处
《医学理论与实践》
2006年第12期1382-1384,共3页
The Journal of Medical Theory and Practice
关键词
膀胱肿瘤
吡柔比星
膀胱内灌注
汽化电切术
Bladder neoplasms,Piraruhiein, Intravesieal instillation, Electrovaporization
