摘要
目的探讨窄带现象膀胱镜降低非肌层浸润性膀胱肿瘤行经尿道等离子电切术后复发率的作用。方法非肌层浸润性膀胱肿瘤患者184例,105例接受普通白光引导下的经尿道等离子电切术,79例接受窄带显像膀胱镜引导下的经尿道等离子电切术。比较两者的无复发生存率、住院时间、手术时间及并发症等相关指标。结果所有患者均安全完成手术。两组在平均手术时间、平均尿管留置时间、平均住院时间及并发症率方面差异无显著性。术后随访8-64个月。普通白光引导下的经尿道等离子电切术组有38例出现复发,窄带显像膀胱镜引导下的经尿道等离子电切术组有9例出现复发。生存分析提示两组在无复发生出率上差异有显著性（P=0.000）。结论窄带显像膀胱镜引导下的经尿道等离子电切术是一种安全、可行的治疗非肌层浸润性膀胱肿瘤的术式。窄带显像膀胱镜引导下的经尿道等离子电切术可降低短期内膀胱肿瘤复发率。
[ Objective ] To investigate the roll of narrow-band imaging guided transurethral resection in decreas- ing the recurrence of none-muscle invasive bladder cancer comparing to white light guided transurethral resection. [ Methods ] 184 none-muscle invasive bladder cancer patients were divided into two groups： 105 in white light guid- ed transurethral resection group and 79 in narrow-band imaging guided transurethral resection group. The recurrent- free survival ratio, hospital day, complication rate were compared between two groups. [ Results ] All patients re- ceived operation safely. No difference could be found between two groups in recurrent-free ratio, hospital day, com- plication rate. The follow up were from 8 months up to 64 months. 38 patients recurrenced in white light guided transurethral resection group while only 9 patients recruuented in narrow-band imaging guided transurethral resec- tion group. [ Conclusion] Narrow-band imaging guided transurethral resection is a safe, fessible method to treat none-muscle invasive bladder cancer. Narrow-band imaging guided transurethral resection can decrease the local recurrence comparing to white light guided transurethral resection.
出处
《中国内镜杂志》
CSCD
北大核心
2014年第5期531-535,共5页
China Journal of Endoscopy
基金
福建省科技厅重点项目2009 D 023
关键词
膀胱肿瘤
窄带显像
膀胱切除术
非肌层浸润性
urinary bladder neoplasms
narrow-band imaging
transurethral tumor resection
none-muscle in-vasive
