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目的:探讨经尿道等离子体双极电切术(PKRBT)治疗膀胱肿瘤的有效性和安全性。方法:根据膀胱肿瘤的位置、大小、数目及与输尿管开口的关系,选择不同的经尿道双极电切方法治疗浅表膀胱肿瘤32例,术后化疗药物规律地膀胱灌注。结果:32例膀胱肿瘤均一次性顺利切除,手术时间为15～65min,平均30min;术中出血10～150mL,平均22mL;无严重并发症发生;4～6d出院。随访1～4a,1例单发肿瘤在术后2a复发,二次行PKRBT未再复发,2例多发肿瘤分别在术后6个月和1年内复发,均改为膀胱全切原位尿流改道术。结论:PKRBT较安全充分地切除了肿瘤,手术并发症低,是治疗浅表膀胱肿瘤的一种较好的微创方法。
Objective: To investigate the efficacy and safety of transurethral plasma-bipolar grafting (PKRBT) in the treatment of bladder cancer. Methods: Thirty-two cases of superficial bladder tumors were selected according to the location, size and number of the bladder tumor and the relationship with the ureteral opening. Urinary bladder was routinely infused into the bladder after chemotherapy. Results: Thirty-two cases of bladder tumors were successfully resected at the same time. The operation time was 15-65 minutes with an average of 30 minutes. The intraoperative hemorrhage was 10-150 ml with an average of 22 ml. No serious complications occurred and the patients were discharged after 4 ~ 6 days. Follow-up 1 ~ 4a, 1 case of single tumor recurrence after 2a, PKRBT no recurrence in the second line, 2 cases of multiple tumors were relapsed within 6 months and 1 year after surgery, were changed to bladder total in situ urinary flow Diversion. Conclusion: PKRBT resection of the tumor more safely and safely, with less complications, is a better minimally invasive treatment of superficial bladder tumors.