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应用髂内动脉栓塞化疗术联合经尿道膀胱肿瘤切除术(TURBT)治疗膀胱肿瘤9例。结果3年复发率为22.2%,与同期膀胱部分切除术(20%)相同,明显低于单纯膀胱肿瘤电切术(3.5%)。显示动脉栓塞化疗可使肿瘤血管萎缩,瘤体明显缩小,控制严重血尿,减少术中出血,防止肿瘤细胞播散转移,促使粘膜原位癌消失,增加了肿瘤电切的切除率。认为这种联合治疗方法可以取代膀胱部分切除术,对减少膀胱部分切除的次数,保留膀胱及其生理功能有一定意义。
Internal iliac artery embolization chemotherapy combined with transurethral bladder tumor resection (TURBT) treatment of bladder cancer in 9 cases. Results The recurrence rate at 3 years was 22.2%, which was the same as that of partial resection of bladder (20%) in the same period, which was significantly lower than that of resection of bladder tumor (3.5%). Chemotherapy showed that arterial embolization can atrophy of tumor vessels, tumor was significantly reduced, control of severe hematuria, reduce intraoperative bleeding, prevent the spread of metastatic tumor cells, prompting mucosal carcinoma in situ disappeared, increasing the resection rate of tumor resection. That this combination therapy can replace partial cystectomy, to reduce the number of partial resection of the bladder to retain the bladder and its physiological function of some significance.