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经尿道膀胱肿瘤切除术治疗浅表性膀胱癌的疗效与安全性

Efficacy and safety of transurethral resection of bladder tumor for superficial bladder cancer.

作者信息

Tang Wei, Niu Huiqing, Yang Yunbo, Li Hui, Liu Haichao, Zhang Jiaxing, Zhang Peng

机构信息

Department of Urology, Hebei Yanda Hospital, Sipulan Road, Yanjiao Economic and Technological Development Zone Langfang 065201, Hebei Province, China.

出版信息

Am J Transl Res. 2021 Nov 15;13(11):12860-12867. eCollection 2021.

Abstract

The purpose of this study was to explore the efficacy and safety of transurethral resection of bladder tumor (TURBT) in the treatment of superficial bladder cancer (SBC). In this retrospective study, we included 103 patients with SBC who were admitted to the Hebei Yanda Hospital from March 2015 to May 2019. Among them, 53 patients were treated by TURBT and assigned to the research group. The rest, 50 patients, were treated by partial cystectomy (PC) and were included in the control group. The two groups were compared in terms of curative efficacy, complications, operation-related indexes, 2-year recurrence and survival, quality of life, and serum tumor markers. The operation-related indexes mainly included intraoperative blood loss, the time of operation, bladder flushing, catheter indwelling, and hospitalization. The quality of life of patients was assessed by the 36-Item Short-Form Health Survey (SF-36). The data revealed that compared with the control group, the overall response rate and the scores of various dimensions of the SF-36 were significantly higher in the research group. The complication rate, surgical indicators, and 2-year recurrence were significantly lower in the research group, with a better survival. Serum levels of tumor marker cancer antigen 125 (CA125), carcinoembryonic antigen (CEA), and neuron specific enolase (NSE) in the research group were significantly lower than those in the control group after treatment. TURBT is effective and safe in the treatment of patients with SBC.

摘要

本研究旨在探讨经尿道膀胱肿瘤切除术(TURBT)治疗浅表性膀胱癌(SBC)的疗效和安全性。在这项回顾性研究中,我们纳入了2015年3月至2019年5月在河北燕达医院住院的103例SBC患者。其中,53例患者接受TURBT治疗并被分配到研究组。其余50例患者接受膀胱部分切除术(PC)治疗并被纳入对照组。比较两组在疗效、并发症、手术相关指标、2年复发率和生存率、生活质量以及血清肿瘤标志物方面的差异。手术相关指标主要包括术中出血量、手术时间、膀胱冲洗、导尿管留置时间和住院时间。采用36项简明健康调查问卷(SF-36)评估患者的生活质量。数据显示,与对照组相比,研究组的总缓解率和SF-36各维度得分显著更高。研究组的并发症发生率、手术指标和2年复发率显著更低,生存率更好。治疗后,研究组血清肿瘤标志物癌抗原125(CA125)、癌胚抗原(CEA)和神经元特异性烯醇化酶(NSE)水平显著低于对照组。TURBT治疗SBC患者有效且安全。

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