摘要
目的探讨经尿道等离子体双极电切术联合术后表柔比星膀胱灌注治疗腺性膀胱炎的疗效。方法对138例腺性膀胱炎患者行经尿道等离子体双极电切术治疗,并对临床资料进行回顾性分析,术后表柔比星膀胱灌注,规律治疗1年,方案为每周1次共8次,其后每月1次共10次,定期做膀胱镜检查。结果138例手术均获成功,手术时间10～40min,平均(49.3±24.5)min,术后3～6d拔除尿管。随访1～4年,平均1.5年,治愈89例,好转32例,无效5例,复发12例,无1例癌变。结论经尿道等离子体双极电切术联合表柔比星膀胱灌注治疗腺性膀胱炎,疗效满意、毒副作用低,是治疗腺性膀胱炎的有效方法,并能有效地预防其复发。
[ Objective ] To investigate the efficacy of transurethral resection using bipolar plasma kinetic technique combined with intra-vesical irrigation with epirubicin for glandular cystitis. [Methods] The clinical data of 138 patients with glandular cystitis undergoing transurethral resection using bipolar plasma kinetic technique combined with intra-vesical irrigation of epirubicin were reviewed and analyzed. After surgery all patients received regular bladder irrigation of epirubicin once a week for two months, and then once a month for ten months. During the follow-up, cystoscopy was periodically performed. [Results] All operations in the 138 cases succeeded, the average operation time was 10-40 min [（49.3±24.5） min], postoperative indwelling catheter remained for 3-6 days. The patients had been followed up for 1 to 4 years （mean 1.5 years）. As a result, 89 patients fully recovered, 32 cases got better, 5 cases failed in the therapy, 12 patients relapsed, and none developed to adenocarcinoma. [Conclusion] Transurethral resection using bipolar plasma kinetic technique combined with intra-vesical irrigation with epirubicin is effective for glandular cystitis with a few side effects and it can prevent glandular cystitis from developing into adenocarcinoma.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第10期1056-1058,共3页
China Journal of Endoscopy
关键词
腺性膀胱炎
等离子电切术
膀胱灌注
glandular cystitis
bipolar plasma kinetic technique
irrigation of bladder
