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目的探讨经尿道等离子体双极电切治疗浅表性膀胱肿瘤的手术方法和手术安全性。方法应用等离子体双极电切治疗膀胱肿瘤120例,年龄29~78岁,单发肿瘤93例,多发肿瘤27例。病理诊断均为膀胱移行细胞癌,细胞分级:G190例,G224例,G36例。结果120例手术均成功。手术时间15~45min。59例术中出现闭孔神经反射。平均随访18个月,17例复发,10例再次经尿道等离子体双极电切,4例行膀胱部分切除术,3例行膀胱全切术。结论经尿道等离子体双极电切治疗浅表性膀胱肿瘤是一种安全有效的手术方法。
Objective To investigate the surgical methods and operative safety of transurethral plasma bipolar electrotomy for the treatment of superficial bladder tumors. Methods The plasma bipolar electrotome was used to treat 120 cases of bladder tumor, ranging in age from 29 to 78 years. There were 93 cases of single tumor and 27 cases of multiple tumors. Pathological diagnosis of bladder transitional cell carcinoma, cell classification: G190 cases, G224 cases, G36 cases. Results 120 cases were successful. Surgery time 15 ~ 45min. Closed obturator nerve reflex occurred in 59 cases. The patients were followed up for an average of 18 months. Seventeen patients relapsed. Ten patients underwent transurethral plasma biopolar resection, four undergone partial resection and three underwent total hysterectomy. Conclusions Transurethral plasma bipolar grafting is a safe and effective surgical treatment of superficial bladder tumor.