论文部分内容阅读
目的:评价滚球电极在经尿道膀胱肿瘤切除术中的应用及疗效。方法:选取2009年10月～2011年5月收治68例膀胱肿瘤患者,应用滚球电极行经尿道膀胱肿瘤切除术。68例患者中男48例,女20例,年龄52～71岁,平均61.4岁。肿瘤初发54例,复发14例。肿瘤单发41例,多发27例。肿瘤大小0.5～4.6cm,平均2.6cm。肿瘤位于侧后壁闭孔神经反射区29例。结果:68例患者均成功经尿道切除肿瘤,手术时间29～55min,平均42.3min。无一例发生膀胱穿孔。术后标本均满足临床病理分期要求。结论:应用滚球电极行经尿道膀胱肿瘤电切术可以有效避免由于闭孔神经反射引起的膀胱穿孔等严重并发症,切除标本满足病理分期要求,是一种安全有效的治疗膀胱肿瘤的方法。
Objective: To evaluate the application of ball-rolling electrodes in transurethral resection of bladder tumor and its curative effect. Methods: Sixty-eight patients with bladder cancer who were treated from October 2009 to May 2011 were treated with ball-and-bladder electrodes for transurethral resection of bladder tumor. 68 patients, 48 males and 20 females, aged 52 to 71 years, mean 61.4 years old. Tumor 54 cases of initial, recurrence in 14 cases. 41 cases of single tumor, multiple in 27 cases. Tumor size 0.5 ~ 4.6cm, an average of 2.6cm. The tumors were located in the obturator reflex zones of the posterior posterior wall in 29 cases. Results: All the 68 patients underwent transurethral resection of the tumor. The operation time was 29-55 minutes with an average of 42.3 minutes. No case of bladder perforation. Postoperative specimens meet the clinical and pathological staging requirements. CONCLUSION: The application of ball electrode for transurethral resection of the bladder tumor can effectively avoid serious complications such as bladder perforation caused by obturator nerve reflex. The resected specimen meets the requirements of pathological staging. It is a safe and effective method to treat bladder tumor.