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目的探讨经尿道等离子双极汽化电切术同期处理治疗膀胱肿瘤合并前列腺增生症的疗效。方法同期经尿道等离子双极汽化电切术切除膀胱肿瘤+增生前列腺48例,术后予丝裂霉素C(MMC)膀胱灌注。结果随访2~36个月,平均19个月。8例复发,1例死于其他原因,1例失访,其余病例均未发生前列腺窝、后尿道肿瘤种植。结论同期行经尿道等离子双极汽化电切术处理膀胱肿瘤合并前列腺增生症,疗效满意,发生前列腺窝、后尿道肿瘤种植的机会极小。
Objective To investigate the efficacy of simultaneous transurethral plasma-assisted bipolar vaporization (MIPT) in the treatment of bladder tumor complicated with benign prostatic hyperplasia. Methods 48 cases of bladder tumor and hyperplasia of prostate were resected by transurethral plasma-assisted bipolar vaporization resection. The patients were given intravesical instillation of mitomycin C (MMC) after operation. The results were followed up for 2 to 36 months, an average of 19 months. 8 cases of recurrence, 1 died of other causes, 1 case lost to follow-up, the rest of the cases did not occur in the prostate fossa, posterior urethral tumor planting. Conclusions Simultaneous transurethral plasma-assisted bipolar vaporization of the prostate resection of bladder tumor with benign prostatic hyperplasia has satisfactory curative effect. Prostate fossa and posterior urethral tumor implantation opportunities are minimal.