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吡柔比星膀胱灌注预防浅表性膀胱癌术后复发

Intravesical instillation of pirarubicin(THP) for preventing postoperative recurrence of superficial bladder cancer

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【作者】 孙宏斌刘军苏江浩沈明顺贾瑞鹏

【Author】 SUN Hongbin 1 LIU Jun 1 SU Jianghao 1 SHEN Mingsun 1 JIA Ruipeng 1 ( 1Department of Urology, the Affiliated First Hospital , Nanjing Medical University , Nanjing,210006,China)

【机构】 南京医科大学附属第一医院泌尿外科南京医科大学附属第一医院泌尿外科 南京 210006南京 210006南京 210006

【摘要】 目的 :评价吡柔比星 (THP)膀胱内灌注预防浅表性膀胱癌术后复发的近期疗效。方法 :对 3 4例浅表性膀胱癌患者行经尿道膀胱肿瘤电切术 (TURBt)或膀胱部分切除术 ,术后定期用THP(3 0mg/ 4 0ml)作膀胱内灌注 ,每周 1次共 8次 ,以后每月 1次共 1年。每次药物在膀胱内保留 4 0min。结果 :经 1 0~ 1 2个月随访 ,无肿瘤复发 3 2例 ,复发 2例 ,复发率为 5 .9% ;未见全身性药物不良反应 ,仅 5例患者出现轻度膀胱刺激症状。结论 :THP膀胱内灌注预防浅表性膀胱癌术后复发近期疗效满意 ,副作用轻 ,耐受性良好

【Abstract】 Purpose:To evaluate the early effect of intravesical instillation of pirarubicin (THP) for prevention of postoperative recurrence of superficial bladder cancer.Methods:Transurethral resection or partial cystectomy was performed on 34 patients with superficial bladder cancer , followed by THP intravesical instillation once a week for 8 weeks and then once a month until 1 year after surgery.Results:All patients have been followed up for 10 to 12 months . It showed that tumor recurrence occurred only in 2 patients (5.9%) .No systemic adverse reaction has been observed, and only 5 patients have transitory bladder irritation. Conclusions: Postoperative intravesical instillation of THP for superficial bladder cancer has good prophylactic effects on the recurrence with least side effects.

【关键词】 膀胱肿瘤膀胱灌注吡柔比星复发
【Key words】 Bladder tumorBladder instillationPirarubicinRecurrence
  • 【文献出处】 临床泌尿外科杂志 ,Journal of Clinaical Urology , 编辑部邮箱 ,2002年06期
  • 【分类号】R737.14
  • 【被引频次】48
  • 【下载频次】121
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