经尿道等离子双极电切治疗表浅膀胱肿瘤48例

Trans-urethral resection of superficial bladder tumor with bipolar plasmakinetic technique

目的了解经尿道等离子双极电切治疗表浅膀胱肿瘤的安全性和疗效。方法用等离子双极电切系统经尿道切除表浅膀胱肿瘤48例,术后定期行膀胱内灌注丝裂霉素(MMC)2a,每3个月行膀胱镜检查,38例平均随访24个月。结果48例均成功经尿道手术切除膀胱肿瘤。2例发生闭孔神经反射,无膀胱穿孔。术后发生尿道狭窄3例。结论经尿道等离子双极电切治疗表浅膀胱肿瘤是一种安全有效的方法。

Objective To assess the safety and efficacy of tram-urethral bipolar plasmakinetic resection of the superficial bladder tumor. Methods 48 cases with superficial bladder tumor were treated with bipolar plsamakinetlc technique. After operation all patients were given mitomycin C （MMC） through intra-vessel instillation for 2 years and were monitored under cystoscopy every 3 months. 38 cases were followed up for 24 months. Results The operations were successful in all cases; Obturator nerve reflex occurred in 2 cases; no bladder perforation was noted in the cases; complication of urethral stricture occurred in 3 cases. Conclusion It might be safe and effective to treat the patients with superficial bladder tumor with bipolar plasmakinetic techinique.