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微创泌尿外科杂志  2018, Vol. 7 Issue (3): 188-191    DOI: 10.19558/j.cnki.10-1020/r.2018.03.012
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窄带光谱成像膀胱软镜与白光膀胱硬镜在非肌层浸润性膀胱癌术后随访中的应用比较
袁谦1, 张凌1, 汪青蓉1, 肖克峰1
1深圳市人民医院泌尿外科 深圳市泌尿外科微创工程中心 518020 广东深圳
Comparison of narrow-band imaging flexible cystoscopy and white-light imaging rigid cystoscopy in recurrence detection of the non-muscle invasive bladder cancer
Yuan Qian1, Zhang ling1, Wang Qinrong1, Xiao Kefeng1
1Department of Urology, Shenzhen People's Hospital, Shenzhen Urological Minimally Invasive Surgery Engineering Center, Shenzhen 518003, China
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摘要 目的: 评估窄带光谱成像(NBI)膀胱软镜在非肌层浸润性膀胱癌术后随访中的应用价值。方法: 回顾2014年1月~2016年12月进行的膀胱镜检查记录和对应患者的手术记录以及病理报告,选取病理诊断为Ta或T1期膀胱尿路上皮癌,经尿道膀胱肿瘤电切术后患者的临床资料进行分析,排除合并有其余部位尿路上皮癌或者记录不完全的资料。结果: 总共纳入165份膀胱镜检记录进行分析,包括51例(82例次)的NBI膀胱软镜检查,46例(83例次)的白光成像(WLI)膀胱硬镜检查。NBI组术后复查时间13(7,26)个月,WLI组11(6,25)个月。NBI组发现镜下异常并进行活检有13例次,WLI组有4例次。活检病理确认复发的NBI组有5例次,WLI组有3例次。NBI组假阳性率为10.4%。WLI组假阳性率为1.2%。结论: 非肌层浸润性膀胱癌患者术后采用NBI膀胱软镜检查与传统WLI硬镜检查相比具有灵敏度高、视野无死角、疼痛轻微的优点,但是NBI技术比传统WLI膀胱硬镜检查假阳性率高。
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袁谦
张凌
汪青蓉
肖克峰
关键词 窄带光谱成像膀胱镜膀胱肿瘤    
AbstractObjective: To evaluate the value of narrow-band imaging (NBI) flexible cystoscopy in recurrence detection of the non-muscle invasive bladder cancer. Methods: Cystoscopic records from January 2014 to December 2016 were retrospectively reviewed. The included patients were those who underwent transurethral resection of non-muscle invasive bladder urothelial carcinoma (Ta or T1). The excluded cases were those who were complicated with urothelial carcinoma in other sites or without accurate surgical records or pathological records. Results: 165 cystoscopic records were included for analysis. There were 82 records for 51 patients by NBI flexible cystoscopy and 83 records for 46 patients by white-light imaging (WLI) rigid cystoscopy. The median follow-up time was 13 months for NBI flexible cystoscopy group and 11 months for WLI rigid cystoscopy group postoperatively. Thirteen biopsies in NBI flexible cystoscopy group were performed and 5 biopsies were positive pathologically. Four biopsies in WLI rigid cystoscopy group were performed and 3 were positive pathologically. False positive rate in NBI group was 10.4%, and that in WLI group was 1.2%. Conclusions: Most of the advantages were gained by the flexibility of cystoscopy, not by the imaging technology, such as less pain for male patients, more positive findings on the other parts of bladder mucosa. However, NBI may cause more false positive rate and unnecessary biopsy for some patients.
Key wordsnarrow-band imaging    cystoscopy    bladder tumor
收稿日期: 2017-11-20     
ZTFLH:  R737.14  
通讯作者: 肖克峰,kevin5510315@yahoo.com   
引用本文:   
袁谦, 张凌, 汪青蓉, 肖克峰. 窄带光谱成像膀胱软镜与白光膀胱硬镜在非肌层浸润性膀胱癌术后随访中的应用比较[J]. 微创泌尿外科杂志, 2018, 7(3): 188-191.
Yuan Qian, Zhang ling, Wang Qinrong, Xiao Kefeng. Comparison of narrow-band imaging flexible cystoscopy and white-light imaging rigid cystoscopy in recurrence detection of the non-muscle invasive bladder cancer. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2018, 7(3): 188-191.
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