经尿道电气切除术治疗膀胱肿瘤

Transurethral Electrovaporization of Bladder Cancer

目的评价经尿道膀胱肿瘤电气切除术治疗膀胱肿瘤的疗效。方法对83例膀胱癌患者行经尿道膀胱肿瘤电气切术,其中15例合并良性前列腺增生者同时行经尿道前列腺电气切除术,术后常规用丝裂霉素或卡介苗膀胱灌注。结果全部病例均一次完成手术,手术时间平均25min。术中穿孔2例,改开放手术1例,术后置双腔或三腔尿管,部分行膀胱冲洗。术后3个月、半年、一年复查膀胱镜检。复发6例。结论经尿道膀胱肿瘤电气切术具有操作安全出血少,手术并发症低的优点。

Objective To evaluate the efficacy of transurethral electrovaporization of bladder tumor, Methods Transurethral electrovaporization of bladder tumor was performed in 83 patients with bladder carcinoma; 15 of them transurethral electrovaporization of the prostate（TVP） was carried out simultaneously for concomitant BPII. Results The tumor was resected in one-stage for 44 cases.The mean operative time was 25 minutes in simple TVBte group. Intraoperative bladder perforation occurred. 2 cases in simple TVBt is charged on open surgery in 1 ease. The mean duration of an indwelling urethral catheter was 48 hours, All patients was followed up by bladder endoscopic for every 3 months, 6months and 1 year. 6 cases were recurrence after operation. Conclusion TVBt is an effective and safe surgery in the treatment of bladder cancer.