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【目的】总结经尿道膀胱肿瘤电切术(TURBt)联合膀胱灌注丝裂霉素治疗浅表性膀胱肿瘤的疗效。【方法】采用TURBt联合术后膀胱灌注丝裂霉素治疗浅表性膀胱肿瘤23例。男17例,女6例,平均年龄52岁。单发15例,多发8例。病理分级G1~G3,分期Ta~T1,肿瘤直径0.3~2.5 cm。【结果】平均手术时间30 min,出血量少。1例出现耻骨后间隙尿外渗,23例随访5~12个月,平均8个月,复发2例,复发率为8.6%。【结论】经尿道电切术联合膀胱灌注丝裂霉素是治疗浅表性膀胱肿瘤的有效方法。
【Objective】 To summarize the curative effect of transurethral resection of bladder tumor (TURBt) combined with intravesical instillation of mitomycin to treat superficial bladder tumor. 【Methods】 23 cases of superficial bladder tumor were treated with TURBt combined with postoperative intravesical instillation of mitomycin. There were 17 males and 6 females, with an average age of 52 years. 15 cases single, multiple in 8 cases. Pathological grading G1 ~ G3, stage Ta ~ T1, tumor diameter 0.3 ~ 2.5 cm. 【Results】 The average operation time was 30 min with less bleeding. One case had exudation of retropubic space. Twenty-three cases were followed up for 5 to 12 months, with an average of 8 months and 2 cases relapsed. The recurrence rate was 8.6%. 【Conclusion】 Transurethral resection combined with intravesical instillation of mitomycin is an effective method for the treatment of superficial bladder tumor.