摘要
目的探讨利用海博刀行膀胱肿瘤内镜黏膜下剥离术（BT-ESD）治疗非肌层浸润性膀胱肿瘤的安全性和有效性。方法收集并分析2014年3月至2014年7月我院收治的28例利用海博刀行BT-ESD治疗的膀胱肿瘤患者的临床资料。结果完整切除膀胱肿瘤28例,共42个独立病灶,肿瘤直径1.0～4.0cm。手术时间（50.0±20.2）min,膀胱冲洗时间（22±14）h,尿管留置时间（2.1±1.7）d,术后住院时间（3.7±2.3）d。无1例需要输血,未发生闭孔神经反射、穿孔及术后出血等并发症。结论利用海博刀行BT-ESD治疗非肌层浸润性膀胱肿瘤是一种安全、有效的方式。肿瘤的完整切除有利于病理学的评估,减少了肿瘤播散和复发的机会。完整切除膀胱肿瘤的方法更符合肿瘤外科治疗原则。
Objective To investigate the efficacy and safety of bladder tumorendoscopic sub mucosal dissection （BT-ESD） for treatment of non-muscle invasive bladder tumors by HybridKnife. Methods Forty-two separate bladder tumors in 28 patients were dissected with BT-ESD using Hy bridKnife from March 2014 to July 2014. Results All the 42 lesions in the 28 patients were en bloc dis sected from the bladder wall. Operation time （22±14） h, indwelling catheter time （2.1±1.7） （50. 0±20. 2） min, bladder irrigation time d, postoperative hospital stay （3.7±2.3） d were found in these patients. No case needed blood transfusion. No obturator nerve reflex was observed and other complications occurred, such as perforation and postoperative hemorrhage. Conclusions BT-ESD with HybridKnife for treatment of non-muscle invasive bladder tumor is a safe and effective approach. Complete resection of the tumor is conducive to evaluation of pathology, reduction in the possibility of tumor spread and recurrence. The en bloc resection technique is more in line with the oncologic principles of surgery treatment of tumor.
出处
《现代泌尿生殖肿瘤杂志》
2015年第3期136-140,共5页
Journal of Contemporary Urologic and Reproductive Oncology
关键词
海博刀
非肌层浸润性膀胱癌
膀胱肿瘤内镜黏膜下剥离术
HybridKnife
Non-muscle invasive bladder cancer
Bladder tumor of endoscopic submucosal dissection
