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目的:观察经尿道膀胱肿瘤电气化术(TVBt)治疗浅表性膀胱移行细胞癌(TCC)的治疗效果。方法:对62例浅表性膀胱癌患者行TVBt术,其中6例并发良性前列腺增生(BPH)者同时行经尿道前列腺电气化术(TVP),术后常规行丝裂霉素膀胱灌注。结果:60例膀胱肿瘤1次切除,2例多发性膀胱肿瘤分两次切除。平均手术时间TVBt为31 min,TVBt加TVP为82 min。1例术中膀胱穿孔,全组无输血。术后平均留置尿管48h。60例均随访24个月,复发14例(22％)。结论:TVBt具有操作简单、出血少、恢复快、术后并发症低等优点。
Objective: To observe the therapeutic effect of transurethral electrovaporization of bladder tumor (TVBt) on superficial bladder transitional cell carcinoma (TCC). Methods: Sixty-two patients with superficial bladder cancer underwent TVBt. Six patients with benign prostatic hyperplasia (BPH) underwent transurethral electrovaporization of the prostate (TVP) at the same time. Mitomycin was infused into the bladder after conventional operation. Results: Sixty cases of bladder cancer were excised one time and two cases of multiple bladder tumors were excised twice. The average TVBt was 31 min and TVBt plus TVP was 82 min. One case of intraoperative bladder perforation, the whole group without blood transfusion. Postoperative average indwelling catheter 48h. Sixty cases were followed up for 24 months and 14 cases (22%) were relapsed. Conclusion: TVBt has the advantages of simple operation, less bleeding, quick recovery and low postoperative complications.