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目的 总结浅表性膀胱癌的治疗经验.方法 回顾性分析48例浅表性膀胱癌病例资料,经膀胱镜检查及病理检查均提示为移行细胞癌.行肿瘤局部切除术23例,经尿道膀胱肿瘤电切术13例,12例肿瘤较大或疑为T_2者行膀胱部分切除术.手术结束后膀胱内立即灌注丝裂霉素40mg;1周后开始每次膀胱灌注丝裂霉素20 mg,每周1次,共6次.术后门诊随访2年.结果 47例完成膀胱灌注并定期检查,手术后3、13个月膀胱内复发各1例.45例无瘤生存,其中的33例无瘤生存超过2年.结论 完全切除肿瘤、尽量减少肿瘤细胞脱落种植及手术后尽早膀胱灌注丝裂霉素可以降低肿瘤复发.“,”Objective To summarize the experience of treatment of superficial vesical cancer. Methods A retrospective analysis was performed in 48 patients(aged from 40 to 80 years old, 38 males and 13 females) with superficial transitional cell carcinoma diagnosed pathologically after cystoscopy. Local resection of the tumor was carried out in 23 cases, tranurethral resection of the tumor in 13 cases and partial resection of the bladder in 12 cases with bigger mass supporsed to be T_2. Mitomycin 40 mg was used for vesicoclysis immeadiately after operation. The vesicoclysis of mitomycin 20 mg was given once an week for 6 weeks. The patients were followed up for 2 years. Results Vesicoclysis of mitomycin was completed in 47 cases, who were received regular postoperative examination. The vesical cancer relapsed in one case in 3 months and in another cases in 13 months after operation. Fourty-five cases lived without tumor, of whom 33 cases lived for more than 2 years. Conclussion Recurrence of superficial vesical cancer may be reduced by completely resection of the tumor, avoidance of tumor cell implant as much as posiblly and early mitomycin vesicoclysis.