论文部分内容阅读
目的探讨临床经尿道电切术治疗膀胱肿瘤的手术治疗体会。方法对汝阳县人民医院收治的97例膀胱肿瘤患者进行经尿道膀胱肿瘤电切术,观察患者手术时间、术后的并发症、出血量等,并对患者进行为期1年的术后随访,观察记录是否复发。结果所有患者均1次切除成功,顺利完成手术,平均手术时间32 min,术中无严重出血,术后无膀胱穿孔和电切综合征发生,随访率为100%,复发率为17.53%(17/97),复发患者13例再次经尿道气化电切术治愈,其余4例进行膀胱全切除术。结论经尿道电切术具有操作简便、创伤小、手术时间短、恢复快和并发症少等优点,是治疗浅表性膀胱肿瘤的一种有效措施,值得临床推广应用。
Objective To explore the clinical experience of transurethral resection in the treatment of bladder tumors. Methods Transurethral resection of bladder tumors was performed on 97 patients with bladder cancer who were treated in the People’s Hospital of Sangyang County. The operation time, postoperative complications, and blood loss were observed. The patients were followed up for a period of one year. Observe records for recurrence. Results All patients underwent a successful resection and the operation was completed successfully. The average operation time was 32 minutes. No severe bleeding occurred during the operation. No postoperative bladder fistula or transurethral syndrome occurred. The follow-up rate was 100%, and the recurrence rate was 17.53% (17 /97), 13 patients with recurrence were cured by transurethral electrovaporization resection. The remaining 4 patients underwent total cystectomy. Conclusion Transurethral resection has the advantages of simple operation, less trauma, shorter operation time, faster recovery and less complications. It is an effective measure for the treatment of superficial bladder tumors and is worthy of clinical application.