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报告经尿道膀胱肿瘤电切术(TURBT)治疗近输尿管口处或覆盖输尿管口的浅表性膀胱肿瘤72例。结果72例均一次手术成功,无出血等并发症。随访61例,均无原位肿瘤复发。提出TURBT后有可能发生输尿管口狭窄、闭锁和膀胱-输尿管返流,但发生率很低,且无因返流而造成上尿路肿瘤细胞种植及肾功能损害病例。认为该部位浅表性膀胱肿瘤仍应按照Barne’s原则行TURBT。
Report Transurethral resection of the bladder tumor (TURBT) treatment of proximal ureteral orifice or ureteral orifice covering 72 cases of superficial bladder cancer. Results All the 72 cases were operated successfully without complications such as hemorrhage. Followed up 61 cases, no tumor recurrence in situ. Proposed TURBT may occur after ureteral stenosis, atresia and bladder-ureter reflux, but the incidence is very low, and no reflux caused by the upper urinary tract cancer cell implantation and renal dysfunction cases. That parts of the superficial bladder tumors should still follow the Barne’s TURBT principle.