摘要
目的:探讨经尿道电切治疗近输尿管口浅表膀胱肿瘤的可行性及疗效。方法:采用经尿道电切治疗近输尿管口浅表膀胱肿瘤患者37例,在快速切除肿瘤时一并切除输尿管口,发现出血时电切环压在出血的血管断端上,作点状电凝止血。结果:本组37例全部治疗成功,疗效满意。随访29例,未发生输尿管口狭窄、闭锁和较严重的膀胱-输尿管反流,无一例发生因反流而造成上尿路肿瘤细胞种植及肾功能损害。结论:经尿道电切治疗近输尿管口浅表膀胱肿瘤是可行的,疗效满意,可以代替膀胱部分切除输尿管再植术。
Objective： To evaluate the feasibility and therapeutics effect of the treatment of the superficial bladder tumor near orifice by transuretbral resection. Methods：We bad resectted tumor and associated with ureter orifice rapidly by an applicator, putting the resectting loop on the cutting end of the blood vessel while bleeding, used interrupted coagualation to stop the bleeding. Results： Satisfactory effectiveness were obtained in all groups. 29 cases bad a mean followed up of 23 months （3-54 mon）. No reflection of urine between bladder and ureter happened without ureter aclusion of lower ureter and renal function damage, No tumor cell retroimplanting occured in up urinary system. Conclusions： Transuretbral resection is a good alternative method for the treatment of superficial bladder tumor near the ureter orifice. It can be a replacement of partial cystectomy with bladder and ureter reimplantation.
出处
《临床泌尿外科杂志》
2005年第9期532-533,共2页
Journal of Clinical Urology
关键词
膀胱肿瘤
输尿管口
经尿道切除术
Transurethal resection
Bladder tumor
Ureteral orifice
