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微创泌尿外科杂志  2020, Vol. 9 Issue (4): 250-254    DOI: 10.19558/j.cnki.10-1020/r.2020.04.008
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针状电极经尿道膀胱肿瘤整块剜除术治疗膀胱癌初步经验
李佳朔1, 尚攀峰1, 尚义超1, 郑旭1
1兰州大学第二医院泌尿外科 730000 兰州
Preliminary experience of needle-shaped electrode transurethral bladder tumor removal for bladder cancer
LI Jiashuo1, SHANG Panfeng1, SHANG Yichao1, ZHENG Xu1
1Department of Urology, Second Hospital of Lanzhou University, Lanzhou 730000, China
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摘要 目的: 评估双极针状电极经尿道膀胱肿瘤整块剜除的安全性和有效性。方法: 2016年1月–2019年1月,34例新诊断为膀胱癌的患者接受双极针状电极经尿道膀胱肿瘤整块剜除术,记录手术过程,分析病理结果以及术中和术后并发症发生率。结果: 34例患者共切除66个肿瘤,肿瘤直径平均(1.9±1.01)cm,平均手术时间(57.6±22.2)min,平均术中出血(24.9±18.7)mL,术中发生闭孔反射1例,未发生膀胱穿孔。病理分期≤T1者20例(58.8%),T2者14例(41.2%);病理分级: 低度恶性潜能1例(2.9%),低级别22例(64.7%),高级别11例(32.4%)。随访7~41个月,病例分期≤T1和T2患者的7个月复发率分别为15%(3/20)和35.7%(5/14),2例T2期患者发生肿瘤进展,≤T1期患者未发生肿瘤进展。结论: 双极针状电极经尿道膀胱肿瘤剜除术是一种有效、可行、安全的膀胱癌治疗方法。
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李佳朔
尚攀峰
尚义超
郑旭
关键词 膀胱癌剜除针状电极    
AbstractObjective: To evaluate the safety and effectiveness of transurethral en bloc resection by needle-shaped plasmakinetic electrode for the treatment of bladder tumor. Methods: From January 2016 to January 2019, 34 patients with newly diagnosed bladder cancer were treated with transurethral en bloc resection by needle-shaped plasmakinetic electrode. The operation process was recorded, and the pathological results and the incidence of intraoperative and postoperative complications were analyzed. Results: A total of 66 tumors were removed from 34 patients, and the average tumor diameter was (1.9±1.0) cm. The average operation time was (57.6±22.2) min. The average intraoperative hemorrhage was (24.9±18.7) mL. One case had obturator reflex and no bladder perforation occurred. Pathological assessment showed pathological stage ≤ T1 in 20 cases (58.8%), T2 in 14 cases (41.2%). For the pathological grade, there was one case of low-grade malignant potential (2.9%), 22 cases of low-grade (64.7%), and 11 cases of high-grade (32.4%). All patients were followed up for 7-41 months. The 7-month recurrence rate of patients with stage ≤T1 and T2 was 15% (3/20) and 35.7% (5/14), respectively. Two patients with T2 had tumor progression, and no patients with ≤T1 had tumor progression. Conclusion: The transurethral en bloc resection by needle-shaped plasmakinetic electrode for the treatment of bladder tumor is an effective, feasible and safe treatment for bladder cancer.
Key wordsbladder tumor    removal    needle-shaped electrode
收稿日期: 2019-11-12     
基金资助:甘肃省重点研发项目(17YF1FA12)
通讯作者: 尚攀峰,shangpf@lzu.edu.cn   
引用本文:   
李佳朔, 尚攀峰, 尚义超, 郑旭. 针状电极经尿道膀胱肿瘤整块剜除术治疗膀胱癌初步经验[J]. 微创泌尿外科杂志, 2020, 9(4): 250-254.
LI Jiashuo, SHANG Panfeng, SHANG Yichao, ZHENG Xu. Preliminary experience of needle-shaped electrode transurethral bladder tumor removal for bladder cancer. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2020, 9(4): 250-254.
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