河北医科大学学报

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针状电极膀胱肿瘤剜除术与传统膀胱肿瘤电切术的初步比较

  

  1. 河北省人民医院泌尿外科,河北 石家庄 050051
  • 出版日期:2016-10-25 发布日期:2016-11-04
  • 作者简介:李守宾(1976-),男,河北遵化人,河北省人民医院主任医师,医学硕士,从事泌尿外科疾病诊治研究。

A preliminary comparison between transurethral bladder tumor enucleation by needle shape electrode and conventional transurethral resection of bladder tumor

  1. Department of Urology, Hebei General Hospital, Shijiazhuang 050051, China
  • Online:2016-10-25 Published:2016-11-04

摘要: [摘要] 目的 比较经尿道针状电极膀胱肿瘤剜除术与传统经尿道膀胱肿瘤电切术的有效性及安全性。方法
选择诊断为膀胱非肌层浸润性尿路上皮癌患者 28 例,按随机分组的方法分为针状电极组 14 例,传统手术组 14 例,
分别实施经尿道针状电极膀胱肿瘤剜除术及传统经尿道膀胱肿瘤电切术,比较 2 组的手术时间、并发症发生率、术
后 3 个月复发情况。结果 针状电极手术组平均手术时间长于传统手术组,差异有统计学意义( P <0.05 ), 2 组均
无明显并发症发生,针状电极手术组闭孔发射的发生率低于传统组,术后病理可以准确诊断分期;
2 组患者术后 3
个月复查均未发现复发。结论 经尿道针状电极膀胱肿瘤剜除术安全有效,可以准确病理分期,利于判断预后及制
定下一步治疗方案,有一定的临床应用价值。

关键词: 膀胱肿瘤, 传统膀胱肿瘤电切术, 针状电极

Abstract: [
Abstract ] Objective Tocomparethesafetyandefficacybetweentransurethralbladder
tumorenucleationbyneedleshapeelectrodeandconventionaltransurethralresectionofbladder
tumor.Methods Twenty-eight patients with non-muscle invasive bladder cancer were
randomizedtoreceiveconventionaltransurethralresectionofbladdertumorortransurethral
bladdertumorenucleation by needleshape electrode.Operation time , complications , and
postoperativerecurrenceat3 monthswerecompared.Results Theaverageoperationtimein
needleshapeelectrodegroup werelongerthanconventionaltransurethralresectionofbladder
tumorgroup ( P <0.05 ) .Therewerenoseriouscomplicationsinbothgroups.Inneedleshape
electrodegroup , theincidenceofobturatornervereflexwassignificantlylower
, andallspecimens
wereabletobediagnosedaccuratelyinpathology.Norecurrenceswerefoundinbothgroups3
monthspostoperatively.Conclusion Transurethralbladdertumorenucleationbyneedleshape
electrodeissafeandeffective , furthermore , specimenscanbediagnosedaccuratelyinpathology ,
whichisimportantforprognosisandfollowingtreatment.

Key words: urinary bladder neoplasms; conventional transurethral resection of bladder tumour, needle shape electrode