经尿道等离子汽化电切术治疗浅表膀胱肿瘤57例效果观察

目的探讨经尿道等离子汽化电切术对膀胱浅表肿瘤的临床疗效。方法自2004年2月-2009年8月收治膀胱肿瘤患者57例，单发38例，多发肿瘤19例，用英国佳乐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，观察其效果。结果全部病例均能一次手术完成，肿瘤电切时间平均22min，平均住院时间（5±0．36）天。随访55例，2例失访，其中24个月内复发12例，8例再次电切治疗，4例采用全膀胱回肠膀胱术治疗。结论经尿道等离子汽化电切术治疗浅表膀胱肿瘤微创、安全、疗效好，值得推广。

Transurethral bipolar plasmakinetic resection for superficial bladder tumors

Objective To evaluate the clinical efficacy of the bipolar plasmakinetic system in transurethral resection for bladder tumors (TURBt). Methods 57 patients aged 38 to 82 (42 male and 15 female; mean age, 58.2 years) with bladder tumors were treated by the bipolar plasmakinetic system. Single tumor was noted in 38 patients and multiple tumors in 19. Results All the patients received only one TURBt. The mean operation time was 22 min and mean hospital stay was( 5 ± 0.36 )days. 55 patients were followed up and 2 were lost. 12 patients relapsed within 24 months of follow-up. 8 had to receive second transurethral resection and 4 required radical cystectomy. Conclusions The bipolar plasmakinetic system in TURBt is minimally invasive, effective and safe.