摘要
目的 探讨经尿道电汽化术 (TUVBt)治疗浅表性膀胱移行细胞癌的疗效。方法 总结 1997年 9月～ 2 0 0 1年 10月应用TUVBt治疗浅表性膀胱移行细胞癌 2 4例的经验。结果 2 4例肿瘤均一次切除 ,手术时间 4 0～ 6 0min ,平均 5 0min。 3例膀胱穿孔。术后长期用丝裂霉素C膀胱内灌注预防复发 ,总有效率为79.2 %。随访 12月～ 6 0个月 ,平均 36个月 ,复发 5例 (2 0 .8% )。结论 TUVBt术创伤小、视野清晰 ,汽化深度可靠 ,术后并发症低。
Objective:To discuss the outcoming of TUVBt as a treatment of superficial bladder cacinoma(transitional cell carcinoma).Methods:Retrospective study of 24 cases from 1997.9 to 2001.10,underwent TUVBt.Results:The whole process only took 40～60minutes,average 50minutes.Bladder perforation presented in 3 cases.Postoperation all the patients received mitomycin C(MMC) intravesical instillation for prophylaxis of recurrence ,follow up duration from 12 to 60 months,average 36 months.Complete response is 79.2% with 5 case recurrence.Conclusions:TUVBt is less invasive ,with clear visual field,definitive resection depth,and less recurrence in treatment of superficial bladder carcinoma.
出处
《中国现代医学杂志》
CAS
CSCD
2003年第20期57-59,共3页
China Journal of Modern Medicine
