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目的 探讨膀胱前壁近颈部肿瘤的微创手术治疗方式。 方法 利用腹腔镜设备 ,在膀胱镜监视下 ,下腹 5～ 10mm小切口穿刺进入膀胱 ,采取经皮经尿道联合途径腔镜切除 5例膀胱前壁近颈部的肿瘤。 结果 5例患者术中膀胱各部位肿瘤显露满意 ,切除顺利 ,无明显合并症。术后所需恢复时间与常规经尿道膀胱肿瘤电切术无明显差别。随访 3～ 10个月 ,各项检查未见肿瘤复发。 结论 采用两镜结合方式切除膀胱镜盲区肿瘤 ,可减少手术创伤 ,同时有利于膀胱其他部位肿瘤的腔镜切除。
Objective To explore the minimally invasive surgical treatment of anterior bladder near the neck tumor. Methods Laparoscopic equipment was used. Under the surveillance of cystoscope, a small incision of 5 ~ 10 mm in the lower abdomen was punctured into the bladder. Percutaneous transurethral resection of the tumor near the neck of the anterior bladder was performed. Results 5 cases of intraoperative bladder cancer showed satisfactory, removal of smooth, no significant complications. Postoperative recovery time and conventional transurethral resection of bladder tumor no significant difference. Follow-up 3 to 10 months, the examination showed no tumor recurrence. Conclusions The removal of the tumor in the cystoscope blind area by two-mirror combined method can reduce the surgical trauma and facilitate the endoscopic resection of the tumor in other parts of the bladder.