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膀胱肿瘤行膀胱部分切除术(必要时同时行输尿管移植)或肿瘤局部切除术治疗,术后肿瘤复发甚至多次复发的病例并不少见.Roger报道47例复发10例,复发率22%,高安报道为26～52%,本院63例复发23例,复发率37%.对这类复发的病例,除已失去手术条件者外,应再次手术治疗.本组复发病例采用了两种治疗方法:1.全膀胱切除术10例,下称全切组,2.再次或多次膀胱部分切除、肿瘤局部切除或电切术,术后并应用噻替哌冲洗膀胱13例,下称冲洗组.将两组的治疗结果报告如下:
Bladder cancer resection of the bladder (partial ureter transplantation if necessary) or tumor resection, tumor recurrence and even multiple recurrence cases are not uncommon.Roger reported 47 cases of recurrent in 10 cases, the recurrence rate was 22%, high security Reported from 26 to 52%, 63 cases of our hospital relapse in 23 cases, the recurrence rate was 37% .For such cases of recurrence, in addition to those who have lost surgical conditions, should be re-operation .This group of recurrent cases using two treatment methods : 1. Total cystectomy in 10 cases, hereinafter referred to as complete resection group, 2. Again or more partial resection of the bladder, tumor resection or resection of the tumor, and postoperative thiopapelline flushing of the bladder in 13 cases, referred to as the flushing group The treatment results for both groups are reported as follows: