经尿道双极电切术治疗浅表膀胱肿瘤  

Transurethral resection of the superficial bladder tumor with bipolar electrocautery system

作　　者：王行环[1] 王怀鹏[1] 陈浩阳[1] 刘久敏[1] 罗耀雄[1] 冯自卫[1] 罗则民[1] 

机构地区：[1]广东省人民医院泌尿外科,广州510080

出　　处：《临床外科杂志》2002年第3期160-161,共2页Journal of Clinical Surgery

摘　　要：目的　探讨经尿道双极电切术治疗浅表膀胱肿瘤 (双极TURBt)的安全性与有效性。方法　用英国Gyrus公司的经尿道双极电切系统行浅表膀胱肿瘤切除术 2 6例。多发肿瘤 8例 ,单发肿瘤 18例 ,膀胱侧壁有肿瘤分布者 13例。结果　经尿道膀胱肿瘤双极电切术手术时间 (19±10 )min(8～ 3 5min) ,无TUR综合征 ,无一例膀胱穿孔 ;13例侧壁肿瘤切除均无明显闭孔神经反射 ,随访 1～ 6个月无复发。结论　用双极电切进行TURBt是一种安全。Objective To assess the efficacy and safety of transurethral bipolar electrocautery resection of the superficial bladder tumor(Bipolar-TURBt).Methods 26 patients with superficial transitional cell carcinoma(13 with tumors appear at the lateral wall) were treated by bipolar TURBt. All patients were followed-up in 1～6 months postoperatively.Results The duration of the procedure was(19±10) min(8～35 min) with little bleeding. Bladder perforation was occurred in no case. No TUR-syndrom was found. The adductor reflex was not found even in the 13 cases with tumor located at the lateral wall.Conclusion Transurethral bipolar electrocautery resection of the superficial bladder tumor is effective and safe.

关 键 词：膀胱肿瘤 双极电切 外科手术 

分 类 号：R737.14[医药卫生—肿瘤]