经尿道膀胱肿瘤电切术治疗高龄膀胱肿瘤

目的:探讨经尿道膀胱肿瘤电切术(TURBT)治疗高龄患者的适应证、手术方法及其疗效。方法:1993年2月～2005年12月采用TURBT治疗膀胱肿瘤高龄患者120例次。结果:本组膀胱肿瘤切除率100%。术中无大出血、无电切综合征、无膀胱穿孔。术后120例均获得随访,随访时间最长已超过11年,肿瘤复发36例次。结论:TURBT治疗高龄膀胱肿瘤患者具有操作简单、损伤小、出血少、术后恢复快等优点。

Transurethral Resection of Bladder Tumor Elderly Patients: A Report of 120 Cases

Objective: To investigate the indications, operational method and effect of TURBT for elderly patients. Methods: From February, 1993 to December 2005, 120 cases with bladder tumors were treated by transurethral resection with simple electrical cuff. Results: The rate of bladder tumor resection was 100%. No hemorrhea occurred in the operation, and the TURBT syndrome and vesical perforation were not found, too. After the operation, a total of 120 cases had been followed-up for 0.2~13 years, with 36 cases of recurrence.The recurrence rate was 30%. Conclusions: There are many advantages for TURBT treatment on elder patients with bladder tumor, such as simple operation, minor lesion, less bleeding and quick postoperative recovery. The operation method can reserve good bladder function and even may replace the partial cysto-ectomy.