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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

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【作者】 王行环王怀鹏陈浩阳刘久敏罗耀雄冯自卫罗则民

【Author】 WANG Xinghuan, WANG Huipong, CHEN Haoyang,et al. Department of Urology, Guangdong Provincial People’s Hospital, Guangdong 510080, China

【机构】 广东省人民医院泌尿外科广东省人民医院泌尿外科 510080广州510080广州

【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、有效的手术方式

【Abstract】 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.

  • 【文献出处】 临床外科杂志 ,Journal of Clinical Surgery , 编辑部邮箱 ,2002年03期
  • 【分类号】R737.14
  • 【被引频次】6
  • 【下载频次】31
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