李君贵　姜　山　陈国福　莫敬柏　黄雨峰

经尿道等离子切除术与气化电切术治疗浅表性膀胱肿瘤的对比研究

李君贵姜山陈国福莫敬柏黄雨峰

目的 比较经尿道膀胱肿瘤等离子切除术与经尿道膀胱肿瘤气化电切术治疗浅表性膀胱肿瘤的疗效和并发症。方法 回顾性分析泌尿外科浅表性膀胱肿瘤患者86例，观察组采用经尿道等离子切除术治疗46例，对照组采用经尿道气化电切术40例，对两组患者手术时间、持续膀胱冲洗时间，术中闭孔神经反射发生率、术后1年复发率进行比较。结果 两组患者手术时间差异无统计学意义（P＞0.05），术后膀胱冲洗时间、闭孔神经发射发生率观察组少于对照组（P＜0.05），术后1年复发率比较两组差异无统计学意义（P＞0.05）。结论 经尿道等离子切除术和经尿道气化电切术均是治疗浅表性膀胱肿瘤的有效手术方式，经尿道等离子切除术具有冲洗时间短、闭孔神经反射发生率低的优点，安全性优于经尿道气化电切术。

浅表性膀胱肿瘤；经尿道等离子切除术；经尿道气化电切术；闭孔神经反射

【Abstract】

Objective To compare the curative effect and complications of transurethral bipolar plasmakinetic resection and transurethral electrovaporization resection in the treatment of superficial bladder tumor. Methods A retrospective analysis of Urology superficial bladder tumor patients of 86 cases which the observation group with transurethral biplor plasmakinetic resection in the treatment of 46 cases，and the control group were treated with transurethral electrovaporization resection of 40 cases，two groups of patients with operation time，continuous bladder irrigation time，the incidence rate of obturator nerve reflex and postoperative 1-year recurrence rate were compared. Results Two groups of patients with operation time had no significant difference（P＞0.05）. Postoperative continuous bladder irrigation time，obturator nerve reflex occurring rate of the observation group was less than that in the control group（P＜0.05），postoperative 1-year recurrence rate were compared between the two groups had no significant difference（P＞0.05）. Conclusion Transurethral bipolar plasmakinetic resection and transurethral electrovaporizationresection is the effective treatment of superficial bladder tumors in the operation，transurethral bipolar plasmakinetic resection with continuous bladder irrigation time is short，advantages of low rate ofobturator nerve reflex，superior safety than transurethal electrovaporization resection.

作者单位：吉林省四平市中心人民医院泌尿外科，吉林 四平 136000

【Key words】Superficial bladder tumor，Transurethral bipolar plasmakinetic resection，Transurethral electrovaporization resection，Obturator nerve reflex

膀胱肿瘤是泌尿系统最常见的肿瘤之一，其中移行细胞癌占膀胱肿瘤的95%以上，大部分患者病变限于黏膜层和固有层，称为浅表性膀胱肿瘤或非肌层浸润性膀胱肿瘤，占总数的70% ～80%［1］。经尿道膀胱肿瘤切除术具有创伤小、恢复快、出血少、并发症少的优点，是治疗浅表性膀胱肿瘤的“金标准”［2］。……