高频能量发生器经尿道膀胱肿瘤电切术治疗非肌层浸润性膀胱癌（附43例报道）  

A report of transurethral resection with high-frequency generator in 43 cases non muscle-invasive bladder tumor

作　　者：郎根强[1] 曹建伟[1] 褚健[1] 庄剑秋[1] 陈元贵[1] 黄钢[1] 章益峰[1] 

机构地区：[1]解放军第四一一医院泌尿外科,上海200081

出　　处：《国际泌尿系统杂志》2016年第1期112-114,共3页International Journal of Urology and Nephrology

摘　　要：目的 探讨应用高频能量发生器（HFG）经尿道膀胱肿瘤电切术治疗非肌层浸润性膀胱癌的安全性和有效性.方法 采用HFG的能量助推双极等离子电切单元行经尿道膀胱肿瘤电切术（TURBT）治疗非肌层浸润性膀胱癌43例,能量助推混切电极切除肿瘤直达深肌层,同时扩大到电切距肿瘤基底边缘1cm范围的正常组织,术后个体化定期膀胱内灌注羟基喜树碱.结果 手术时间15 ～ 55min,平均30min.全组无膀胱穿孔病例,31例侧壁或伴发侧壁肿瘤者有15例发生不同程度的闭孔神经反射.全组随访6 ～18个月,复发4例,均行再次电切.结论 HFG经尿道膀胱肿瘤电切术治疗非肌层浸润性膀胱癌安全有效.Objectives To investigate the safety and therapeutic effect of transurethral resection of bladder tumor with high-frequency generator.Methods We performed TURBT to treat 43 cases of non muscle-invasive bladder cancer（NMIBC） by transurethral boost-pulse bipolar plasma system of high-frequency generator from KLS Martin corporation of Germany.Blend-electrode used to resect main part of the tumor, involving the normal mucosal membrane, away from the base of the tumor by 1 cm, reaching the deep muscle layer of the bladder.Within one year after the procedure, hydroxycamp-tothecine （HCPT） were used for intravasical instillation in regular intervals according to individualization.Results The operation time ranged from 15 to 55 minutes with a mean of 30 minutes;during which obturator nerve reflex to varying degrees occurred in 15 cases with side-wall tumor of 31 ones, and no cases was found occurring extraperitoneal perforation.Follow-up was achieved in 43 patients for 6 to 18 months;during the period, 4 cases was found relapsed and thus received electronic resection.Conclusions Transurethral resection of bladder tumor with high-frequency generator is one of the best safe and effective method to treatment of NMIBC.

关 键 词：电外科手术/方法 膀胱肿瘤/外科学 

分 类 号：R737.14[医药卫生—肿瘤]