Uchida T, Ao T, Ikeda S, Yokoyama E, Kadowaki K, Shoji K, Koshiba K
Department of Urology, Kitasato University School of Medicine.
Hinyokika Kiyo. 1990 Sep;36(9):1033-8.
Two hundred and thirty one patients who underwent transurethral resection of a bladder tumor (TUR-Bt) at our hospital during the past 15 years were analyzed. There were 176 males and 55 females, and the average age at the initial TUR-Bt was 62 years old. Histopathologically, 225 cases were of transitional cell carcinoma, 4 cases of papilloma and 2 cases of squamous cell carcinoma. Grading and staging of 225 transitional cell carcinoma cases revealed grades 1, 2 and 3 in 32, 132 and 21 cases, and stages Ta, T1, T2, T3 and T2-4M1 in 48, 135, 20, 17 and 11 cases, respectively. The frequency of TUR-Bt varied from 1 to 10 times. Among the 231 cases TUR-Bt was done once, twice and three times in 149 (64.5%) and 41 (17.8%), and 22 (9.6%) cases, respectively and the total number of TUR-Bt was 400 times. The duration of the TUR-Bt operation was from 5 min. to 160 min. (mean: 32.4 min.) and the resected weight of tumor between 0.5 g and 85 g (mean: 5.4 g). As a complication of TUR-Bt, TUR-fulguration was necessary to control postoperative bleeding in 7 cases (1.7%), and blood transfusion was required in 13 cases (3.3%) during TUR-Bt. Postoperatively blood transfusion was required in 8 cases (2%), intraperitoneal perforation in 2 cases (0.5%), extraperitoneal perforation in 6 cases (1.5%) and hyponatremia in 1 case (0.3%).(ABSTRACT TRUNCATED AT 250 WORDS)
对过去15年在我院接受经尿道膀胱肿瘤切除术（TUR-Bt）的231例患者进行了分析。其中男性176例，女性55例，初次TUR-Bt时的平均年龄为62岁。组织病理学检查显示，225例为移行细胞癌，4例为乳头状瘤，2例为鳞状细胞癌。225例移行细胞癌病例的分级和分期显示，1级、2级和3级分别有32例、132例和21例，Ta期、T1期、T2期、T3期和T2-4M1期分别有48例、135例、20例、17例和11例。TUR-Bt的次数从1次到10次不等。在231例病例中，TUR-Bt进行1次、2次和3次的分别有149例（64.5%）、41例（17.8%）和22例（9.6%），TUR-Bt的总次数为400次。TUR-Bt手术持续时间为5分钟至160分钟（平均：32.4分钟），切除肿瘤重量为0.5克至85克（平均：5.4克）。作为TUR-Bt的并发症，7例（1.7%）需要进行TUR-电灼以控制术后出血，13例（3.3%）在TUR-Bt期间需要输血。术后8例（2%）需要输血，2例（0.5%）发生腹腔内穿孔，6例（1.5%）发生腹膜外穿孔，1例（0.3%）发生低钠血症。（摘要截选至250字）
