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目的探讨经尿道等离子体双极电切术治疗浅表膀胱肿瘤(PKRB t)的安全性与有效性。方法应用美国AM-C I公司的经尿道等离子体双极电切系统行浅表膀胱肿瘤切除术29例。患者男22例,女7例,年龄33~72岁,平均54.8岁。多发肿瘤7例,单发肿瘤22例,膀胱侧壁有肿瘤分布者20例。结果经尿道膀胱肿瘤等离子体双极电切术手术时间15~65 m in,平均30 m in。无经尿道电切综合征;18例侧壁肿瘤切除时,5例发生闭孔神经反射,但无膀胱穿孔,所有患者术后随访1~33个月,7例复发,均再行PKRB t。结论PKRB t是一种安全、有效的手术方式。闭孔神经反射是PKRB t常见并发症之一。
Objective To investigate the safety and efficacy of transurethral plasma bipolar resection in the treatment of superficial bladder tumor (PKRB t). Methods 29 patients with superficial bladder tumor underwent transurethral plasma bipolar resection system of America AM-C I Company. There were 22 males and 7 females, aged from 33 to 72 years, with an average age of 54.8 years. Multiple tumors in 7 cases, single tumor in 22 cases, bladder tumor sidewall distribution in 20 cases. Results Transurethral resection of bladder tumor by plasma bipolar grafting was performed in 15 ~ 65 mm in diameter with an average of 30 mm in diameter. No transurethral resection syndrome was found. In 18 cases of resected side wall tumors, 5 cases had obturator nerve reflex, but no bladder perforation. All patients were followed up for 1 to 33 months and 7 cases were relapsed. All patients underwent PKRB t. Conclusion PKRB t is a safe and effective surgical method. Obturator nerve reflex is one of the common complications of PKRB t.