[1]王昊.经尿道等离子剜除术治疗膀胱肿瘤的临床研究[J].徐州医科大学学报,2019,39(12):908-912.
 (81672845) *E-mail:sunheyao@126.com Clinical study of plasmakinetic enucleation for bladder tumor[J].Journal of Xuzhou Medical University,2019,39(12):908-912.
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经尿道等离子剜除术治疗膀胱肿瘤的临床研究()
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《徐州医科大学学报》[ISSN:2096-3882/CN:32-1875/R]

卷:
39
期数:
2019年12期
页码:
908-912
栏目:
出版日期:
2019-12-25

文章信息/Info

Title:
(81672845) *E-mail:sunheyao@126.com Clinical study of plasmakinetic enucleation for bladder tumor
作者:
王昊
文献标志码:
A
摘要:
目的 探究经尿道等离子剜除术对于膀胱肿瘤的临床治疗效果,并分析其对精确肿瘤分期的影响。 方法 选取我院2016年9月至2017年12月术前初步诊断为非肌层浸润性膀胱肿瘤的患者(NMIBC),选取其中分别采用经尿道膀胱肿瘤电切术(TURBT)和经尿道膀胱肿瘤等离子剜除术(PKEBT)治疗的患者各50例,比较两组患者精确病理分期的差异,分析两组患者的手术时长、肌层浸润性膀胱癌(MIBC)检出率和术后12个月内的复发率,探讨两种术式的优缺点。 结果 两组患者的手术时间比较的差异无统计学意义(P>0.05)。PKEBT组的MIBC检出率高于TURBT组(24%vs8%,P=0.029)。术后3个月,6个月,9个月和12个月的复发率,PKEBT组皆低于TURBT组(2.63%vs17.39%,5.26%vs21.73%,10.52%vs28.26%,13.15%vs32.60%),两者比较具有统计学意义(p<0.05)。结论 经尿道等离子剜除术治疗膀胱肿瘤安全有效,可以获得更精确的病理分期。
Abstract:
Objective To investigate the clinical effect of transurethral plasma enucleation on bladder tumor and analyze its effect on accurate tumor staging. Methods A total of 100 Patients diagnosed with non-muscle-invasive bladder cancer(NMIBC) before surgery were selected from September 2016 to December 2017 , and were divided into transurethral resection of bladder tumor (TURBT) group and plasmakinetic enucleation of bladder tumors (PKEBT) group . We compared the difference between the two groups on accurate pathological staging, operation time, the rate of muscle-invasive bladder cancer (MIBC) and recurrence rate within 12 months after surgery. Results There was no statistically significant difference in operative time between the two groups (P>0.05). The MIBC detection rate of PKEBT group is higher than TURBT group (24%vs8%, P=0.029). The recurrence rates of the PKEBT group were lower than TURBT group at 3, 6, 9 and 12 months postoperatively (2.63%vs17.39%, 5.26%vs21.73%, 10.52%vs28.26%, 13.15%vs32.60%, respectively), with statistical significance (p<0.05). Conclusion Plasmakinetic enucleation of bladder tumors is safe and effective in the treatment of bladder neoplasms.
更新日期/Last Update: 2020-01-06