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[经尿道膀胱肿瘤切除术:并发症的处理]

[Transurethral resection of bladder tumors: management of complications].

作者信息

Rausch S, Gakis G, Stenzl A

机构信息

Klinik für Urologie, Universitätsklinikum Tübingen, Hoppe-Seyler Straße 3, 72076, Tübingen, Deutschland.

出版信息

Urologe A. 2014 May;53(5):695-8. doi: 10.1007/s00120-014-3488-2.

DOI:10.1007/s00120-014-3488-2
PMID:24806801
Abstract

As a frequent endourological procedure, transurethral resection of bladder tumors (TURB) represents a major field of activity for urological surgeons. Although TURB represents an endoscopic training procedure for urology residents, there are clear requirements for the quality of the surgical procedure as such. The knowledge of possible complications and their management are essential for urologists active in the clinical field. Bleeding complications, bladder perforation, infections and injuries to the ureteral orifice are the most frequently observed complications. This article summarizes the essential risks and complications as well as the corresponding preventive and therapeutic measures.

摘要

经尿道膀胱肿瘤切除术(TURB)作为一种常见的腔内泌尿外科手术,是泌尿外科医生的主要业务领域。尽管TURB是泌尿外科住院医师的内镜培训手术,但该手术本身对质量有明确要求。了解可能出现的并发症及其处理方法,对于从事临床工作的泌尿外科医生至关重要。出血并发症、膀胱穿孔、感染以及输尿管口损伤是最常观察到的并发症。本文总结了主要风险和并发症以及相应的预防和治疗措施。

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[ASA and clopidogrel for urological operations. Perioperative management].[美国麻醉医师协会(ASA)分级与氯吡格雷用于泌尿外科手术。围手术期管理]
Urologe A. 2013 Nov;52(11):1597-605. doi: 10.1007/s00120-013-3263-9.
2
EAU guidelines on non-muscle-invasive urothelial carcinoma of the bladder: update 2013.EAU 指南:非肌层浸润性膀胱尿路上皮癌:2013 年更新版。
Eur Urol. 2013 Oct;64(4):639-53. doi: 10.1016/j.eururo.2013.06.003. Epub 2013 Jun 12.
3
Laparoscopic repair of iatrogenic bladder perforation during transurethral bladder tumor resection: Case report and literature review.
经尿道膀胱肿瘤切除术中医源性膀胱穿孔的腹腔镜修补术:病例报告及文献复习
Indian J Urol. 2013 Jan;29(1):61-3. doi: 10.4103/0970-1591.109988.
4
EAU guidelines on iatrogenic trauma.EAU 指南:医源性创伤
Eur Urol. 2012 Oct;62(4):628-39. doi: 10.1016/j.eururo.2012.05.058. Epub 2012 Jun 5.
5
Gender and body mass index as risk factors for bladder perforation during primary transurethral resection of bladder tumors.性别和体重指数是原发性经尿道膀胱肿瘤切除术时膀胱穿孔的危险因素。
J Urol. 2012 May;187(5):1566-70. doi: 10.1016/j.juro.2011.12.114. Epub 2012 Mar 14.
6
Female gender and carcinoma in situ in the prostatic urethra are prognostic factors for recurrence, progression, and disease-specific mortality in T1G3 bladder cancer patients treated with bacillus Calmette-Guérin.女性性别和前列腺尿道原位癌是 T1G3 膀胱癌患者接受卡介苗治疗后复发、进展和疾病特异性死亡率的预后因素。
Eur Urol. 2012 Jul;62(1):118-25. doi: 10.1016/j.eururo.2011.10.029. Epub 2011 Oct 25.
7
Critical review of current definitions of urinary tract infections and proposal of an EAU/ESIU classification system.当前尿路感定义的批判性回顾及 EAU/ESIU 分类系统的提出。
Int J Antimicrob Agents. 2011 Dec;38 Suppl:64-70. doi: 10.1016/j.ijantimicag.2011.09.009. Epub 2011 Oct 21.
8
Waterjet hydrodissection: first experiences and short-term outcomes of a novel approach to bladder tumor resection.水刀(喷射)解剖:膀胱癌切除术新方法的初步经验和短期结果。
World J Urol. 2011 Aug;29(4):423-7. doi: 10.1007/s00345-011-0653-8. Epub 2011 Feb 9.
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Bipolar energy for transurethral resection of bladder tumours at low-power settings: initial experience.低功率设置下经尿道膀胱肿瘤切除术的双极能量:初步经验。
BJU Int. 2011 Aug;108(4):553-6. doi: 10.1111/j.1464-410X.2010.09903.x. Epub 2010 Dec 22.
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