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[针对非肌肉侵入性膀癌的封闭式尿道切除]

P Darenkov S^1,2, A Pronkin E^1,2, E Musaev I^1,2

¹FGBU Central state medical academy of Administrative Directorate of the President of Russian Federation, Moscow, Russia.

Urologiia (Moscow, Russia : 1999)

|November 20, 2024

概括

封闭式通过尿道切除是诊断和治疗非肌肉侵入性膀癌 (NMIBC) 的推标准. 这种方法提高了分期精度和样品质量,可能降低复发率.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
在瘤学瘤学.
手术创新在外科创新.

背景情况:

膀癌 (BC) 存在诊断挑战和高复发风险.
对于非肌肉侵入性膀癌 (NMIBC) 的最佳治疗对于结果至关重要.
膀成像报告和数据系统 (VI-RADS) 有助于评估瘤入侵.

研究的目的:

评估 en bloc 尿道外切除 (TUR) 作为 NMIBC 的诊断和治疗标准.
评估VI-RADS和内透孔深度 (DEEP) 协议对治疗的影响.
在安全性,样本质量和循环瘤细胞方面,将块 TUR 与经典 TUR 进行比较.

主要方法:

使用VI-RADS进行MRI和DEEP协议进行手术内评估.
为NMIBC进行了封闭式通过尿道切除.
分析了病态形态的发现,并将结果与传统的TUR进行了比较.

主要成果:

整体切除在标本中实现了96-100%的脱肌肉存在.
在阻断切除过程中,证明了循环瘤细胞的缺失.
激光能量使用提高了安全性和样本形态.

结论:

可以建议进行封闭式通过尿道切除作为NMIBC诊断和治疗的标准.
通过病态形态学研究精确的分期会影响治疗策略.
重复 TUR 的决定取决于医生,当边缘清晰,并且存在detruzor时.

关键词:

膀癌:膀癌是一种癌症.膀的封锁切除是膀的封锁切除.激光能量是激光的能量.非肌肉侵入性膀癌 (NMIBC) 是一种非肌肉侵入性膀癌.膀的通过尿道切除.

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