低功率电切治疗膀胱肿瘤疗效观察

LOW-POWER ELECTROCAUTERY TRANSURETHRAL RESECTION OF BLADDER TUMOR

目的探讨经尿道膀胱肿瘤低功率电切术的适应症、手术方法及其疗效评估. 方法分析65例经尿道膀胱肿瘤切除术.手术时间10～90 min,平均时间41 min;膀胱穿孔1例,术后冲洗时间1～3 d,平均2 d;导尿管留置时间1～5 d,平均4 d.结果随访0.5～3 a,48例中肿瘤复发15例,其中原位复发2例,异位多位复发13例.结论经尿道膀胱肿瘤低功率电切可防止并明显减少闭孔神经反射的发生,具有操作简单,损伤小,出血少、恢复快等优点.

Objective To investigate the indications, operation method and effect of Low-power TURBt. Methods The dataof65 cases of Low-powerTURBt were summarized. Results The mean operative time was 41 min （range, 10 - 90 min） ; Ⅰ case had bladder perforation; the mean bladder perfusion time was 2 d （range, 1 - 3 d） ; in-dwelling urethral catheter time 4 d （range, 1 - 6 d）. 48 cases had been followed up for 0.5 - 3 years, 15 cases had recurrence. Conclusion Low power TURBt can reduce reflex of obturator nerve. There are many advantages such as simpler operation, less lesion, less blood loss and faster recovery.