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目的 :比较经尿道膀胱肿瘤切除术 (TURBt )和膀胱部分切除术治疗浅表性膀胱移行细胞癌的疗效。方法 :对 1989年 1月～ 1995年 7月间的 82例初发浅表性膀胱移行细胞癌手术病例进行长期随访 ,TURBt组 (T组 ) 5 4例 ,膀胱部分切除术组 (P组 ) 2 8例。结果 :T组和P组至第一次复发间隔时间分别为 17.3 8± 7 3 5月和 2 7 5 6± 2 2 2 1月 ,术后1、 2、 3、 5年复发率 ,二组分别为 10 3 %、 2 4 1%、 3 5 2 %、 3 6 4%和 10 7%、 10 7%、 2 8 6%、 3 0 4% ,两组间均无统计学差异 (P >0 10 )。结论 :TURBt和膀胱部分切除术治疗浅表性膀胱移行细胞癌的疗效相似 ,TURBt手术创伤小、并发症少 ,且可反复进行 ,在治疗浅表性膀胱移行细胞癌时 ,应首选TURBt
Objective: To compare the efficacy of transurethral resection of the bladder (TURBt) and partial resection of the bladder in the treatment of superficial bladder transitional cell carcinoma. Methods: A total of 82 patients with primary superficial bladder transitional cell carcinoma were enrolled in this study. Long-term follow-up was performed in the TURBt group (group T, 54 cases) and partial resection group (group P) 28 cases. Results: The interval between the first and second relapse of T group and P group were 17.3 8 ± 7 3 months and 27 5 6 ± 22 2 months respectively, and the recurrence rates at 1, 2, 3 and 5 years after operation were significantly lower in the two groups Respectively, which were 10 3%, 24 1%, 35 2%, 36 4% and 10 7%, 10 7%, 286% and 30 4% respectively, with no significant difference between the two groups (P> 0 10). Conclusions: The curative effect of TURBt and partial partial resection for superficial bladder transitional cell carcinoma is similar. TURBt has few traumas and few complications, and can be repeated. TURBt should be the first choice in the treatment of superficial bladder transitional cell carcinoma