近年来经尿道切除膀胱肿瘤手术方法(TUR)的应用日益普遍,在膀胱肿瘤的治疗中已占有较重要的位置。作者在4年内对50例膀胱肿瘤患者进行了106次TUR 手术。对手术方法作了改进,采用逐层逐段切除膀胱肿瘤的手术方法。初步观察效果较满意,兹报告如下。手术方法手术的要领是每次仅切除一个小的区段。一般是先从肿瘤的边缘开始,从肿瘤顶部逐层的切至底部,看到正常的膀胱肌层为止,要超出肿瘤边界0.5～1cm。如为较小之肿瘤手术即告结束。如病变广泛,止血完善后再向邻近部位推移。直至全部肿瘤被清陈(图1、2)。不要在得手的部位乱切,最后止血困难,也难于判断切除是否彻底。无论肿瘤大小或分布范 In recent years, the use of transurethral resection of bladder tumors (TUR) has become increasingly common and has occupied an important position in the treatment of bladder tumors. The authors performed 106 TUR procedures on 50 patients with bladder tumors within 4 years. Improvements were made in surgical methods, and surgical methods were used to remove the bladder tumors segment by segment. The preliminary observations are more satisfactory and are reported below. Surgical methods The main point of surgery is to remove only one small section at a time. It usually starts from the edge of the tumor, cuts from the top of the tumor layer to the bottom, and the normal bladder muscle layer is seen to exceed the tumor boundary by 0.5 to 1 cm. If the surgery is smaller for the tumor, it will end. If the lesions are extensive, the hemostasis is improved and then the adjacent site is shifted. Until all tumors are cleared (Figure 1, 2). Don’t chase in the right place. Finally, it is difficult to stop the bleeding. It is also difficult to judge whether or not the removal is complete. Regardless of tumor size or distribution