β刀经尿道膀胱黏膜剥脱治疗浅表性膀胱憩室癌的应用体会
Application of transurethral stripping of bladder mucosa with β-knife in the treatment of superficial bladder diverticular carcinoma
刘宪军 1孙圣坤 2王恒恩 2樊伟哲2
作者信息
- 1. 中国人民解放军总医院泌尿外科医学部(北京,100853);聊城市第三人民医院泌尿外科(山东聊城,252000)
- 2. 中国人民解放军总医院泌尿外科医学部(北京,100853)
- 折叠
摘要
目的:探讨β刀经尿道膀胱黏膜剥脱治疗浅表性膀胱憩室癌应用体会.方法:选取中国人民解放军总医院2021年5月—2023年6月应用 β刀治疗浅表性膀胱憩室癌的8例患者,观察手术时间、术中出血量、术中膀胱穿孔情况、术后留置导尿管时间以及术后复发情况.结果:所有患者均成功行 β刀黏膜剥脱术,平均手术时间为(34±9)min,平均术中出血量为(10±6)mL,均未发生膀胱穿孔,平均术后冲洗为(8±4)h,平均留置导尿管时间为(2±1)d,平均随访时间为(20±6)个月,1例出现异位复发.结论:β刀经尿道黏膜剥脱治疗浅表性膀胱憩室癌安全、有效;能避免膀胱穿孔及较大的手术创伤,降低手术相关风险及围手术期相关并发症,最大限度提高患者生存质量,可以在一定程度上预防膀胱肿瘤的复发,延长患者的生命,为部分膀胱憩室癌患者保留膀胱提供了机会.
Abstract
Objective:To explore the experience of transurethral bladder mucosal stripping with β-knife in the treatment of superficial bladder diverticular carcinoma.Methods:A total of 8 patients with superficial bladder di-verticular cancer were treated by β-knife in Chinese PLA General Hospital from May 2021 to June 2023.Operative time,intraoperative blood loss,perforation of diverticulum,indwelling catheterization time and postoperative re-currence were observed.Results:The medical records of 8 patients were collected,and all of whom were success-fully treated by β-knife mucosal exfoliation.The operation time was(34±9)min,and intraoperative bleeding was(10±6)mL.No bladder perforation occurred.Postoperative irrigation was(8±4)h,and urinary catheter in-dwelling time was(2±1)day.The follow-up time was(20±6)months,and 1 case had ectopic recurrence.Con-clusion:The treatment of superficial bladder diverticular carcinoma by transurethral stripping with β-knife is safe and effective.It can avoid bladder perforation and major surgical trauma and reduce surgery-related risks and peri-operative complications so as to improve the quality of life of patients,prevent the recurrence of bladder tumor to a certain extent and prolong the life of patients.This provides an opportunity for bladder preservation in some pa-tients with diverticular cancer of the bladder.
关键词
膀胱憩室癌/浅表性膀胱癌/经尿道膀胱黏膜剥脱/β刀Key words
bladder diverticular carcinoma/superficial bladder carcinoma/transurethral bladder mucosal ex-foliation/β-knife引用本文复制引用
出版年
2024
NETL
NSTL
万方数据