[1]杨大强,冀荣俊.经尿道膀胱肿瘤电切除术26例报告[J].中国微创外科杂志,2007,07(8):738-742.
　Yang Daqiang,Ji Rongjun..Transurethral Resection of Bladder Tumor: A Report of 26 Cases[J].Chinese Journal of Minimally Invasive Surgery,2007,07(8):738-742.
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经尿道膀胱肿瘤电切除术26例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年8期
页码:
738-742
栏目:
出版日期:
2007-08-20

文章信息/Info

Title:
Transurethral Resection of Bladder Tumor: A Report of 26 Cases
作者:
杨大强; 冀荣俊
安徽省蚌埠市第三人民医院泌尿外科，蚌埠233000
Author(s):
Yang Daqiang;  Ji Rongjun.
Department of Urology, Bengbu Third People’s Hospital, Bengbu 233000, China
关键词:
膀胱肿瘤; 经尿道切除术
Keywords:
Bladder tumor; Transurethral resection
分类号:
R737.14
文献标志码:
A
摘要:
目的探讨经尿道膀胱肿瘤电切术（transurethral resection of bladder tumor，TURBT）的疗效。方法2001年8月～2007年1月采用TURBT治疗膀胱肿瘤26例。切割电极切除瘤体包括距离肿瘤基底部0.5～1.0 cm的正常膀胱黏膜，切除深度达到浅或深肌层，电凝肿瘤基底部创面，术后定期使用丝裂霉素等药物膀胱腔内灌注化疗。结果手术时间15～90 min，(52.5±37.5) min。1例术后发生严重膀胱出血，1例膀胱穿孔。22例随访0.5～2年，平均1年，肿瘤复发6例，其中原位复发4例，异位复发2例；1例合并乳糜尿，行左侧肾蒂周围淋巴组织结扎术。结论TURBT治疗膀胱肿瘤具有手术操作简单，疗效可靠等优点。
Abstract:
ObjectiveTo investigate the efficacy of transurethral resection of bladder tumor (TURBT).MethodsFrom August 2001 to January 2007, 26 patients with bladder tumor were treated with TURBT. Cutting electrode was used to resect the tumor, including also the normal mucous membrane, away from the base of the tumor by 0.5-1.0 cm, and reaching shallow muscle layer of the bladder in depth. The wound was treated with electrocoagulation. Postoperatively, drugs such as mitomycin were used through intravesical instillation for chemotherapy.ResultsOperation time was 15-90 min (52.5±37.5 min). One case had serious postoperative bleeding of the bladder, 1 case of bladder perforation. Followup was conducted in 22 cases for 0.5-2 years, (mean: 1 year). Six cases had recurrence in which 4 were in situ, the other 2 were ectopia. One of the recurrent cases had chyluria, treated with ligation of renal lymphatic tissue.ConclusionsTURBT has advantages such as simple surgical manipulation, and reliable efficacy etc, in treating bladder tumor.

参考文献/References:

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更新日期/Last Update: 2013-12-09