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目的 :探讨经尿道膀胱肿瘤电切术 (TURBT )联合经尿道膀胱肿瘤汽化电切术 (TVBT)治疗膀胱肿瘤的方法及疗效。方法 :采用TURBT联合TVBT治疗膀胱肿瘤 3 6例 ,其中 4例并发良性前列腺增生 (BPH)者同时行经尿道前列腺汽化电切术 (TUVP) ,术后常规行丝裂霉素灌注化疗。结果 :3 6例膀胱肿瘤均一次切除 ,平均手术时间 ,TURBT联合TVBT为 3 0min ,4例再加TUVP为 90min。术后平均留置尿管时间 3d ,术后平均住院 5d。随访 3～ 18月 ,复发 5例 ( 13 .9% ) 1例改膀胱全切 ,4例再次行TURBT联合TVBT而治愈。结论 :TURBT联合TVBT治疗膀胱肿瘤 ,具有出血少、手术速度快、安全性高、复发率低、易重复等优点
Objective: To investigate the method and efficacy of transurethral resection of bladder tumor (TURBT) and transurethral resection of bladder tumor (TVBT) in the treatment of bladder cancer. Methods: TURBT and TVBT were used in the treatment of 36 cases of bladder tumors. Among them, 4 cases of benign prostatic hyperplasia (BPH) were treated by transurethral vaporization of the prostate (TUVP) at the same time. Results: Thirty-six cases of bladder tumor were removed at the same time. The average operation time was 30 min with TURBT and TVBT, and 4 with TUVP of 90 min. Postoperative average indwelling catheter time 3d, average postoperative hospital 5d. Follow-up 3 to 18 months, 5 cases (13.9%) recurred bladder resection in 1 case, 4 cases again TURBT combined with TVBT and cured. Conclusion: TURBT combined with TVBT in the treatment of bladder cancer has the advantages of less bleeding, fast operation, high safety, low recurrence rate and easy to repeat