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目的:探讨经尿道膀胱肿瘤剜除术治疗膀胱平滑肌瘤的疗效。方法:2009年2月~2012年11月我院采用经尿道膀胱肿瘤剜除术的方式治疗8例膀胱平滑肌瘤患者。在电切镜下先将肿瘤完整剜除,再用电切刀逐步切除,冲洗器将标本取出。结果:8例手术均成功,手术用时30~40min,平均34min。术中及术后无周围脏器损伤、大出血、尿漏、感染等发生。术后病理回报均为膀胱平滑肌瘤。术后随访3个月~4年,均未见肿瘤转移复发。结论:采用经尿道膀胱肿瘤剜除术治疗膀胱平滑肌瘤操作简单、出血少、创伤小、术后恢复快且并发症少,是一种疗效较好的手术方式。
Objective: To investigate the curative effect of transurethral resection of bladder tumor on bladder leiomyoma. Methods: From February 2009 to November 2012, 8 cases of bladder leiomyoma were treated with transurethral resection of the bladder tumor in our hospital. Under the resectoscope, the tumor was completely excised, and then the electric knife was gradually removed, and the washer removed the specimen. Results: All the 8 cases were successful. The operation time was 30-40 minutes with an average of 34 minutes. No intraoperative and postoperative organ damage, bleeding, urinary leakage, infection and so on. Postoperative pathological findings were bladder leiomyoma. All cases were followed up for 3 months to 4 years. No recurrence of tumor metastasis was found. Conclusion: Transurethral resection of bladder tumor for the treatment of bladder leiomyoma is simple, less bleeding, less trauma, rapid recovery and less complications after operation, is a better operative method.