经尿道膀胱肿瘤电切术35例报告

Reports of 35 transurethral resection of bladder tumor cases

目的探讨经尿道膀胱肿瘤电切术（TURBT）的手术方法 ,提高手术安全性。方法回顾性分析35例采用TURBT治疗非肌层浸润性膀胱癌（NMIBC）患者的临床资料。结果 35例患者均顺利完成手术,手术时间与肿瘤数量、大小有关,一般单发肿瘤5~10 min,多发肿瘤或需放置双J管者20~60 min,平均放置25 min。术后随访0.5~5.0年,肿瘤复发5例,复发率14.3%,均再次成功行TURBT治疗。随访期间无一例患者死亡。结论 TURBT治疗NMIBC具有操作简单、并发症少、切除效果满意、术后恢复快等优点,对输尿管开口附近膀胱肿瘤同样适用。

Objective To investigate transurethral resection of bladder tumor（TURBT） in improving surgical safety. Methods A retrospective analysis was made on clinical data of 35 patients with non-muscleinvasive bladder cancer（NMIBC） treated by TURBT. Results All the 35 cases received successful operation, and their operation time was related with number and size of their tumors. Operation for general single tumor was 5~10 min, and operation for multiple tumors or intubation of double-J catheter was 20~60 min, with the average time as 25 min. Postoperative follow-up for 0.5~5.0 years showed 5 recurrent cases, with the recurrence rate as 14.3%, and they all received successful TURBT for further treatment. There was no death case during followup. Conclusion In the treatment of NMIBC, TURBT contains advantages of easy operation, few complications, satisfactory excision effect, and quick postoperative rehabilitation. This method is also available for bladder tumor around ureter outlet.