临床肿瘤学杂志

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BR-TRG-Ⅰ型体腔热灌注治疗仪实施膀胱热灌注化疗的临床观察

王 俞,李煜罡,洪 健,王远东,李伟明,罗晓君,周宇辰

  

  1. 510315 广州 南方医科大学中西医结合医院外二科
  • 收稿日期:2017-03-10 修回日期:2017-07-09 出版日期:2017-09-30 发布日期:2017-09-30
  • 通讯作者: 李煜罡

Clinical observation of BR-TRG-I type body cavity hyperthermic perfusion instrument on hyperthermic intravesical chemotherapy

WANG Yu, LI Yugang, HONG Jian, WANG Yuandong, LI Weiming, LUO Xiaojun, ZHOU Yuchen.
  

  1. The Second Department of Surgery, TCM-Integrated Cancer Center of Southern Medical University, Guangzhou 510315, China
  • Received:2017-03-10 Revised:2017-07-09 Online:2017-09-30 Published:2017-09-30
  • Contact: LI Yugang

摘要: 目的 探讨应用BR-TRG-Ⅰ型体腔热灌注治疗仪对非肌层浸润性膀胱癌患者实施膀胱热灌注化疗的可行性及临床初步疗效。方法 应用BR-TRG-Ⅰ型体腔热灌注治疗仪对我院2014年6月至2015年1月收治的8例非肌层浸润性膀胱癌患者经尿道膀胱肿瘤电切术(TUR-BT)后实施膀胱热灌注化疗,每周灌注1次,8次后改为每月灌注1次。灌注速度200 ml/min,灌注时间为1 h,治疗温度为43 ℃。化疗药物选择盐酸吡柔比星(THP)30 mg,灌注液总量1500 ml,灌注过程中实时监测患者生命体征,术后每3个月行膀胱镜检查,观察TUR-BT术后2年复发率。结果 8例患者膀胱热灌注化疗均顺利完成,灌注过程中能够实现持续循环恒温灌注,患者生命体征平稳。术后随访2年,均未见肿瘤复发,其中2例患者出现排尿刺热感,多饮水症状可缓解。结论 应用 BR-TRG-Ⅰ型体腔热灌注治疗仪实施膀胱热灌注化疗能够实现恒温持续循环灌注,安全可行,疗效可靠,值得临床推广。

Abstract: Objective To explore the feasibility and clinical effect of BR-TRG-I type body cavity hyperthermic perfusion instrument for bladder perfusion chemotherapy in patients with non-muscular invasive bladder cancer. Methods From June 2014 to January 2015, a total of 8 non-muscle-invasive bladder cancer patients were treated with hyperthermic intravesical chemotherapy by BR-TRG-I type body cavity hyperthermic perfusion instrument in our hospital. The perfusion rate of solution was set as 200 ml/min, with the temperature of 43 ℃ for 1 hour, 1 time per week for 8 weeks, then changed to 1 time monthly. Chemotherapy drugs were selected with pirarubicin hydrochloride (THP), 30 mg THP was dissolved in 1500 ml perfusate. Vital signs of the patients was monitored for real time during the process. Cystoscopy was performed every 3 months after TUR-BT, and the recurrence rate was observed for 2 years. Results In the process of perfusion, the BR-TRG-I type hyper thermic body cavity perfusion treatment system could achieve the continuous circulation of thermostatic perfusion, and the vital signs of the patients could keep stable. After 2 years of follow-up, all patients had no recurrence, including 2 cases of patients with voiding needling sensation, after the patients drank water, the symptoms could alleviate. Conclusion The method of bladder hyperthermic perfusion chemotherapy on non-muscle-invasive bladder cancer patients who have undergone TUR-BT proved to be an useful and effective method in prevention of non-muscle-invasive bladder cancer recurrence. The technology and methods is safe and feasible, which can achieve the continuous circulation of thermostatic perfusion, and has very bright clinical application prospect.

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