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目的探讨治疗浅表膀胱肿瘤的有效方法和疗效。方法采用经尿道双极等离子体膀胱肿瘤电切术(PKRBT)治疗浅表膀胱肿瘤100例,术后丝裂霉素和卡介苗进行膀胱灌注治疗。结果手术过程顺利,术中无大出血,无闭孔神经反射,无膀胱穿孔,无中转开腹手术,无需输血。随访3～60个月,4例复发,其中3例单个肿瘤复发,1例多发性膀胱肿瘤术后6个月复发,二次行双极等离子体膀胱肿瘤电切术,12个月再次复发行膀胱全切。其余96例未见肿瘤复发。结论 PKRBT治疗浅表膀胱肿瘤,手术安全,出血少,创伤小,生活质量高,是治疗浅表膀胱肿瘤的理想方法。
Objective To explore the effective method and effect of treating superficial bladder tumor. Methods 100 cases of superficial bladder tumor treated by Transurethral Bipolar Plasma Bladder Tumor Resection (PKRBT) were treated with intravesical instillation of mitomycin and BCG. Results The operation was smooth, no major intraoperative bleeding, no obturator nerve reflex, no bladder perforation, no laparotomy, no blood transfusion. All the patients were followed up for 3 to 60 months. Four patients relapsed. Three patients had a single tumor recurrence. One patient with recurrent bladder tumor recurred 6 months after operation. The patients underwent bipolar plasma cystadenotomy twice and relapsed 12 months later Bladder full cut. The remaining 96 cases no tumor recurrence. Conclusions PKRBT is an ideal method for the treatment of superficial bladder tumors with safe operation, less bleeding, less trauma and better quality of life.