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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 the surgical methods of transurethral resection of bladder tumor (TURBT) to improve the safety of surgery. Methods The clinical data of 35 patients with non-muscle invasive bladder cancer (NMIBC) treated with TURBT were retrospectively analyzed. Results All the 35 patients completed the operation successfully. The operation time was related to the number and size of the tumors. The average tumor volume was 5 to 10 minutes, multiple tumors or double J tube were required for 20 to 60 minutes and the average time was 25 minutes. The patients were followed up for 0.5-5.0 years. Tumor recurrence was found in 5 cases and the recurrence rate was 14.3%. TURBT was successfully performed again. None of the patients died during follow-up. Conclusion TURBT treatment of NMIBC has the advantages of simple operation, fewer complications, satisfactory resection effect and rapid postoperative recovery, which is also applicable to bladder tumors in the vicinity of the ureteral orifice.