经尿道电切治疗输尿管开口肿瘤65例报告  

Transurethral electroresection of ureteral orifice tumors: Report of 65 cases

作　　者：范海涛[1] 张明[1] 费维娟[1] 贾志涛 刘禄成[1] 

机构地区：[1]吉林大学第二医院泌尿外科,长春130041 [2]吉林省地矿医院外科,长春130061

出　　处：《中国微创外科杂志》2006年第1期43-44,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨经尿道电切治疗输尿管开口肿瘤的临床疗效。方法输尿管开口肿瘤65例，采用经尿道电切术，术后配合应用膀胱灌注化疗药物。结果手术时间5～90min，平均35min，术中出血量5～100ml，平均50ml。术中和术后无一例输血及死亡。65例中移行细胞瘤Ⅰ级43例，Ⅱ级10例，乳头状瘤12例。65例随访6～24个月，平均15个月，术后尿道狭窄4例，扩张治疗后治愈。肿瘤复发5例，复发部位均在膀胱三角区及侧壁，再次行经尿道电切术，术后更换灌注化疗药物，随访10～20个月，平均15个月，无复发。结论经尿道电切术治疗单纯输尿管开口肿瘤，疗效确切，值得推广应用。Objective To discuss the clinical efficacy of transurethral electroresection in the treatment of ureteral orifice tumors. Methods A total of 65 cases of ureteral orifice tumor were treated with transurethral electroresection and chemotherapy. Results The operation time was 5 - 90 min （ mean, 35 min） , and the intraoperative blood loss was 5 - 100 ml （ mean, 50 ml）. No blood transfusion was required. No fatal case was encountered. Out of the 65 cases, there were 53 cases of transitional cell carcinoma （grade Ⅰ , 43 cases; grade Ⅱ , 10 cases） and 12 cases of papilloma. The 65 cases were followed for 6 - 24 months （mean, 15 months）. Postoperative urethral stricture happened in 4 cases, which were cured by dilation of the urethra. Recurrence of tumor at the trigone and lateral wall of the bladder occurred in 5 cases, which were given a re - operation of transurethral electroresection and chemotherapy and were followed for 10 - 20 months （mean, 15 months ） without recurrence. Conclusions Transurethral electroresection of ureteral orifice tumors gives satisfactory effects and should be further recommended.

关 键 词：肿瘤 输尿管开口 尿道电切术 

分 类 号：R737.13[医药卫生—肿瘤]