CAJ | 학술논문

目的探讨经尿道等离子体双极电切术治疗浅表膀胱肿瘤(PKRBt)的安全性与有效性.方法应用美国AMCI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29例.患者男22例,女7例,年龄33～72岁,平均54.8岁.多发肿瘤7例,单发肿瘤22例,膀胱侧壁有肿瘤分布者20例.结果经尿道膀胱肿瘤等离子体双极电切术手术时间15～65 min,平均30 min.无经尿道电切综合征;18例侧壁肿瘤切除时,5例发生闭孔神经反射,但无膀胱穿孔,所有患者术后随访1～33个月,7例复发,均再行PKRBt.结论 PKRBt是一种安全、有效的手术方式.闭孔神经反射是PKRBt常见并发症之一.
목적 탐토경뇨도등리자체쌍겁전절술치료천표방광종류(PKRBt)적안전성여유효성.방법 응용미국AMCI공사적경뇨도등리자체쌍겁전절계통행천표방광종류절제술29례.환자남22례,녀7례,년령33～72세,평균54.8세.다발종류7례,단발종류22례,방광측벽유종류분포자20례.결과 경뇨도방광종류등리자체쌍겁전절술수술시간15～65 min,평균30 min.무경뇨도전절종합정;18례측벽종류절제시,5례발생폐공신경반사,단무방광천공,소유환자술후수방1～33개월,7례복발,균재행PKRBt.결론 PKRBt시일충안전、유효적수술방식.폐공신경반사시PKRBt상견병발증지일.
Objective To assess the efficacy and safety of transurethral resection of superficial bladder tumor with plasmakinetic resection of the bladder tumor (PKRBt ). Methods Twenty-nine patients with superficial transitional cell carcinoma were treated by PKRBt. There were 22 male and 7 female,the ages of whom were between 33 and 72 years old(mean 54.8 years),7 patients had multiple tumor,22 patients had single tumor.Eighteen cases of which had tumors appearing at the lateral wall. Results The operative duration of the procedure was 15 to 65 mins (mean 30 mins). No transurethral resection (TUR) syndrome was found. The adductor reflex was found in 5 cases with tumor located at the lateral wall ,but no bladder perforation occurred . All patients were followed-up 1-33 months postoperatively. Seven patients recurrent PKRBt again. Conclusion Transurethral resection of superficial bladder tumor with plasmakinetic is effective and safe. The obturator nerve reflex is one of the common complications of PKRBt.