| TURBt术中粘膜下注射的应用 |
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| 引用本文： | 吴宏飞,钱立新,顾民,夏国伟,华立新,宋宁宏,徐正铨.TURBt术中粘膜下注射的应用[J].海南医学,2004,15(1):19-19,13. |
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| 作者姓名： | 吴宏飞 钱立新 顾民 夏国伟 华立新 宋宁宏 徐正铨 |
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| 作者单位： | 南京医科大学第一附属医院泌尿外科,江苏,南京,210029;南京医科大学第一附属医院泌尿外科,江苏,南京,210029;南京医科大学第一附属医院泌尿外科,江苏,南京,210029;南京医科大学第一附属医院泌尿外科,江苏,南京,210029;南京医科大学第一附属医院泌尿外科,江苏,南京,210029;南京医科大学第一附属医院泌尿外科,江苏,南京,210029;南京医科大学第一附属医院泌尿外科,江苏,南京,210029 |
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| 摘 要： | 目的 了解膀胱肿瘤浸润深度以及避免闭孔神经反射和电切过深。方法2000年10月～2002年3月18例拟行TURBt的患者在电切前以无菌水经膀胱镜于肿瘤基底部注射。结果2例肿瘤不能浮起，改为开放手术；另16例均顺利电切，无闭孔神经反射，术后常规灌注，随访13月～30月，未见复发。结论：术中粘膜下注射是判断浅表性膀胱肿瘤较为直观和可靠的方法；本法可避免闭孔神经反射和电切过深。
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| 关 键 词： | 经尿道膀胱肿瘤电切术 粘膜下注射 |
| 文章编号： | 1003-6350(2004)01-0019-02 |
Application of submucous injection in transurethral electroresection of bladder tumor |
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| WU Hong-fei,QIAN Li-xin,GU Min,XIA Guo-wei,HUA Li-xin,SONG Ning-hong,XU Zheng-quan.Application of submucous injection in transurethral electroresection of bladder tumor[J].Hainan Medical Journal,2004,15(1):19-19,13. |
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| Authors: | WU Hong-fei QIAN Li-xin GU Min XIA Guo-wei HUA Li-xin SONG Ning-hong XU Zheng-quan |
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| Abstract: | Objective To comprehend depth of infiltration of bladder tumer and to prevent reflection of obturator nerve and over-resection.Methods From october 2000 to march 2002,18 cases of superficial bladder tumor were injected by water of sterility before transurethral electroresection of bladder tumor.Results Because tumor can not float,2 cases were treated by partial cystectomy;16 cases were operated by transurethral electroresection of bladder tumor,reflection of obturator could not found operatively,recurrence and metastases could not found postoperatively during follow-up of 13 months to 30 months.Conclusions Submucous injection is direct and reliable method to judge superficial bladder tumor;this method can avoid reflection of obturator nerve and over-resection. |
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| Keywords: | transurethral electroresection of bladder tumor submucous injection |
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