摘要
目的探讨NBI辅助TURBT治疗膀胱多发肿瘤的可行性,分享手术经验。方法回顾性分析2016年4月至2018年11月应用NBI辅助TURBT治疗膀胱多发肿瘤36例,男性27例,女性9例。完善相关检查后行TURBT治疗,术中记录膀胱肿瘤的位置及数目。结果手术均顺利完成,术中发现7例为膀胱内2处肿物,6例为膀胱内3处肿物,6例为膀胱内4处肿物,2例为膀胱内5处肿物,余15例膀胱内肿物为6处以上或难以计数、范围较广。手术时间16~260min,中位51min,平均71min,出血量1~200mL,中位2mL,平均16mL。术后住院时间2~41d(中位时间4d)。术后随访6~37个月,平均14.3个月,有4例复发再次手术。结论 NBI辅助TURBT是治疗膀胱多发肿瘤的有效方式,能更好的观察到膀胱内扁平样病变,术后肿瘤复发率较低。
Objective To explore the feasibility of narrow-banding imaging(NBI)-assisted transurethral resection of bladder tumor(TURBT)in the treatment of multiple bladder tumors,and to share the surgical experience.Methods The clinical data of 36 patients(27 males and 9 females)with multiple bladder tumors treated with NBI-assisted TURBT during Apr.2016 and Nov.2018 were retrospectively analyzed.The location and number of bladder tumors were recorded during the operation.Results All operations were successful.Multiple tumors were found in all cases,including 2 tumors in 7 cases,3 tumors in 6 cases,4 tumors in 6 cases,5 tumors in 2 cases,and 6 or more tumors in the other 15 cases.The operation time was 16-260 min,median 51 min,and average 71 min.Blood loss was 1-200 mL,median 2 mL,and average 16 mL.Postoperative hospital stay was 2-41 days,median 4 days.During the follow-up of 6 to 37(average 14.3)months,recurrence occurred in 4 cases.Conclusion NBI-assisted TURBT is effective in the treatment of multiple bladder tumors,which can help to observe the flat lesions in the bladder and has a low recurrence rate.
作者
邱敏
田晓军
徐楚潇
邓绍晖
刘承
卢剑
肖春雷
赵磊
马潞林
QIU Min;TIAN Xiao-jun;XU Chu-xiao;DENG Shao-hui;LIU Cheng;LU Jian;XIAO Chun-lei;ZHAO Lei;MA Lu-lin(Department of Urology,Peking University Third Hospital,Beijing 100191,China)
出处
《现代泌尿外科杂志》
CAS
2019年第12期1000-1003,共4页
Journal of Modern Urology
关键词
窄带成像
经尿道膀胱肿瘤切除术
膀胱肿瘤
多发
narrow band imaging
transurethral resection of bladder tumor
bladder tumor
multiple
