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目的 :探讨经尿道膀胱肿瘤切除术的适应证、手术方法及其疗效评估。方法 :自 1989年 6月～ 1999年 6月收治膀胱肿瘤患者 94例 ,其中行经尿道膀胱肿瘤电切术 70例 ,经尿道膀胱肿瘤气化加电切术 2 4例。结果 :获得随访 0 .5～ 10年的 86例中 ,肿瘤复发 39例 ,其中原位复发 11例 ,异位复发 2 8例 ,复发肿瘤升级 4例。其复发率与膀胱部分切除术相比较无明显差异。结论 :经尿道途径切除膀胱肿瘤具有操作简单、损伤小、出血少、恢复快等优点。
Objective: To investigate the indications, surgical methods and efficacy evaluation of transurethral resection of bladder tumor. Methods: From June 1989 to June 1999, 94 patients with bladder cancer were treated. Among them, 70 patients underwent transurethral resection of the bladder tumor and 24 underwent transurethral resection of the bladder tumor by gasification and electrosurgery. RESULTS: Of the 86 patients who were followed up for 0.5 to 10 years, 39 were recurred, including 11 in situ recurrence, 28 ectopic recurrences and 4 recurrent tumors. The recurrence rate and partial resection of the bladder compared to no significant difference. Conclusion: Transurethral resection of bladder tumor has the advantages of simple operation, less injury, less bleeding and quick recovery.