膀瘤常规初始透尿切除后第二次切除的结果
Song Xu1,2,3,4,5, Hongjie Shi6, Fang Yu7
1Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan, China.
概括
膀瘤的第二次通过尿道切除产生了低的残留率和良好的结果. 年龄较小的患者和切除时间较长的延迟增加了残留风险,而BCG治疗减少了复发.
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.
- 外科手术的结果
背景情况:
- 膀瘤通过尿道切除 (TURBT) 是标准的治疗方法.
- 有时需要重复 TURBT,以确保完全移除瘤和分期.
研究的目的:
- 为了评估第二次TURBT对膀瘤的结果.
- 为了确定瘤残留和复发的预测因子,在重复 TURBT.
主要方法:
- 对125名接受初次和第二次TURBT的患者进行了回顾性分析.
- 瘤残留物,升级阶段和短期瘤结果的评估.
- 多变量分析以确定预测因素.
主要成果:
- 瘤残留发生在12%的患者中;上升阶段发生在0.8%的患者中.
- 年轻的年龄和>6周的延迟到第二次切除预测了更高的残留率.
- 一年无复发和无进展的生存率分别为86.5%和96.9%.
- 维护BCG治疗预测复发率较低.
结论:
- 第二个TURBT实现了低残留率和可接受的结果.
- 年轻患者可能会从更早的第二次切除 (6周内) 中受益.
- 维护BCG治疗与第二次TURBT后复发率降低有关.
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