CAJ | 학술논문

目的：探讨经尿道膀胱肿瘤切除术的适应证、手术方法及其疗效评估。方法：自1989年6月～1999年6月收治膀胱肿瘤患者94例，其中行经尿道膀胱肿瘤电切术70例，经尿道膀胱肿瘤气化加电切术24例。结果：获得随访0.5～10年的86例中，肿瘤复发39例，其中原位复发11例，异位复发28例，复发肿瘤升级4例。其复发率与膀胱部分切除术相比较无明显差异。结论：经尿道途径切除膀胱肿瘤具有操作简单、损伤小、出血少、恢复快等优点。
목적：탐토경뇨도방광종류절제술적괄응증、수술방법급기료효평고。방법：자1989년6월～1999년6월수치방광종류환자94례，기중행경뇨도방광종류전절술70례，경뇨도방광종류기화가전절술24례。결과：획득수방0.5～10년적86례중，종류복발39례，기중원위복발11례，이위복발28례，복발종류승급4례。기복발솔여방광부분절제술상비교무명현차이。결론：경뇨도도경절제방광종류구유조작간단、손상소、출혈소、회복쾌등우점。
Purpose:To investigate the indications, operational method and effect of TURBt.Methods:From June of 1989 to June of 1999, 94 cases of patients with bladder tumors were admitted , of which 70 were treated by transurethral resection with simple electrical cuff, and 24 were treated by transurethral resection with vaporizing electrical cuff.Results:86 cases had been followed up for0.5～10 years, 39 had recurrence.4 of them recurred with hither grade. There is no obvious difference of the recurrence rate between patients with partial cystoectomy and those with TURBt.Conclusions:There are many advantages such as simpler operation, less lesion, less blood loss and faster recovery. The operation method can reserve good bladder function and even may replace the partial cystoectomy.