Effect of operative methods on the prognosis of bladder-preserving patients with bladder transitional cell carcinoma

YIN Zhikang; et al

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Effect of operative methods on the prognosis of bladder-preserving patients with bladder transitional cell carcinoma

更新时间：2024-01-17

- Effect of operative methods on the prognosis of bladder-preserving patients with bladder transitional cell carcinoma
- Journal of Chongqing Medical University Issue 1, Pages: 67-68(2007)
- 作者机构：
  
  1. 重庆医科大学附属第一医院泌尿外科
  2. 重庆市潼南县人民医院
- 作者简介：
- 基金信息：
- DOI：
  CLC： R737.14
- Published：2007，
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[1]尹志康,吴小候,苟欣,唐伟,梁思敏,蒲军,刘通.手术方式对保留膀胱的膀胱移行细胞癌患者预后的影响[J].重庆医科大学学报,2007(01):67-68+71.

YIN Zhikang, et al. Effect of operative methods on the prognosis of bladder-preserving patients with bladder transitional cell carcinoma. [J]. Journal of Chongqing Medical University (1):67-68(2007)
[1]尹志康,吴小候,苟欣,唐伟,梁思敏,蒲军,刘通.手术方式对保留膀胱的膀胱移行细胞癌患者预后的影响[J].重庆医科大学学报,2007(01):67-68+71. DOI：

YIN Zhikang, et al. Effect of operative methods on the prognosis of bladder-preserving patients with bladder transitional cell carcinoma. [J]. Journal of Chongqing Medical University (1):67-68(2007) DOI：

摘要

目的:分析各种保留膀胱手术方式与膀胱移行细胞癌病人的肿瘤复发率、近远期存活率及首次复发时间之间的关系

探讨膀胱肿瘤保留膀胱的策略。方法:对我院近15年间收治的膀胱肿瘤病人进行资料收集并随访

采用寿命表法及q检验及卡方检验等统计学方法分析249例资料齐全的保留膀胱病人的复发率、复发时间和近远期存活率与手术方式的关系。结果:手术方式对膀胱肿瘤首次复发时间的影响不明显

三种手术方式后膀胱肿瘤的总复发率、3年和5年生存率无显著性差异

而10年生存率以经尿道膀胱肿瘤电切术为最高（77.3%）

膀胱部分切除术最低（65.2%）

差异有统计学意义。结论:经尿道膀胱肿瘤电切术可获得与开放性手术（膀胱肿瘤切除和膀胱部分切除术）同样的近期疗效

并有较高的远期存活率。

Abstract

Objective:To investigate the correlation between overall recurrence rate

survival rate

and the first recurrence duration and operative methods

and to discuss the strategy of bladder-preserving for patients with bladder transitional cell carcinoma(TCC).Methods:A total of 249 cases of bladder tumor with complete follow-up data

treated from 1991 to 2005 in our hospital

were studied re trospectively.The correlation between overall recurrence rate

survival rate and the first recurrence duration and operative methods were analyzed by the life table method

and statistical methods

like Newman-Keuls and chi-square test.Result:The first recurrence duration was not influenced by operative methods. There was no significant difference of overall recurrence rate and short-term survival rate(3-year and 5-year)among different operative methods

the highest 10-year survival rate(77.3%)occurred in the group of transurethral resection of bladder tumor(TURB)and the lowest one(65.2%)in the group of partial cystectomy

and the difference was statistically significant.Conclusions:TURB could achieve the same short-term therapeutic effect as opening operations(partial resection of bladder or resection of bladder tumors)and the higher long-term survival rate can be obtained by TURB.

关键词

膀胱肿瘤保留膀胱手术生存率复发率

Keywords

Bladder tumorsBladder-preserving operationssurvival rateRecurrence rate

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