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표재성 방광암에 대한 경요도적 방광종양 절제술 후 증류수 방광내 세척의 효과

The Efficacy of Intravesical Irrigation with Distilled Water After Transurethral Resection for Superifical Bladder Tumor

대한비뇨기과학회지 1995년 36권 4호 p.401 ~ 405
조원열 (  ) - 부산대학교병원 신경과학교실

최재수 (  ) - 부산대학교

Abstract


We evaluated the prophylactic efficacy of intravesical irrigation with distilled water immediately after transurethral resection (TUR) of superficial bladder tumor patients. Control group (n=30), with normal saline irrigation immediately after
TUR(≥15
min.) and continuous intravesical instillation of adriamycin 150mg with 3000ml normal saline for 2 days postoperatively. Distilled water group (n=28), with the same modality as control group, except for distilled water as the irrigation solution.
The
overall recurrence rates were 35.7% in distilled water group, which were more effective than 60.0% in control group. The 2 years tumor free rates by Kaplan-Meier method was higher in distilled water group (71.4%) than control group (46.4%),
respectively
with statistical significance. But, the inean time to recurrence were 13.3 months in control group and 14.1 months in distilled water group, without significant differences between two groups. These results support that the reasonable benefits of
distilled water for prophylaxis of recurrence in superficial bladder tumor.

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