目的　介绍经尿道切除膀胱肿瘤的治疗体会。方法　 1985年 8月～ 2 0 0 0年 11月 ,采用经尿道电切和电气化治疗膀胱肿瘤 10 7例 ,电切同时行肿瘤基底部活检 ,帮助临床分期 ,进一步采取相应措施 ,术后定期随访辅以膀胱内药物灌注以防复发。结果　除 3例分别为并发膀胱穿孔、出血以及输尿管口肿瘤残留外 ,余均成功。随访 1～ 2年者 88例 (随访率 82 .3% ) ,2年内复发 17例 (19.3% ) ,5年内频发 6次 1例 ,再次电切。最长 1例 14年后复发。结论　该术式是表浅性膀胱肿瘤最理想手术方法 ,可反复施行 ,且保留良好膀胱功能。无腹部切口肿瘤种植之虑 ,创伤小 ,出血少 ,无痛 ,住院时间短 ,恢复快 ,经济负担轻 Objective To introduce transurethral resection of bladder cancer treatment experience. Methods From Aug. 1985 to Nov. 2000, transurethral electrovaporization and electrification were used to treat 107 cases of bladder tumors. Tumor biopsy was performed simultaneously with tumor biopsy to help clinical staging. Further measures were taken and follow-up was performed regularly Supplemented with intravesical drug infusion to prevent recurrence. Results in addition to three cases were complicated by perforation of the bladder, bleeding and ureteral tumor residual, I have succeeded. 88 cases were followed up for 1 to 2 years (follow-up rate was 82.3%), 17 cases (19.3%) were relapsed in 2 years, 1 case was frequent in 5 years and electrosurgical resection was performed again. A maximum of 1 case 14 years after the recurrence. Conclusion The procedure is the best surgical treatment of superficial bladder tumors, which can be repeated, and retain good bladder function. No abdominal incision for tumor implantation, less trauma, less bleeding, painless, shorter hospital stay, faster recovery, and a low economic burden