经尿道电切治疗浅表性膀胱癌

TUVBT in Treatment of Superficial Bladder Carcinoma

目的:探讨经尿道电切术治疗浅表性膀胱癌术后使用丝裂霉素膀胱内灌注的临床疗效。方法:采用经尿道膀胱肿瘤电切术(TURBT),术后使用丝裂霉素膀胱内灌注治疗浅表性膀胱癌46例。结果:随访3年33例浅表性膀胱癌一次切除无再次复发,7例随访分别于1年内再次复发,6例2年内再次复发。均再行TURBT。结论:TURBT加丝裂霉素膀胱内灌注治疗浅表性膀胱癌是可重复、应用、安全、有效方法。

Objective ：To discuss the outcoming of treating with mitomycin C （MMC） after TUVBt as a treatment of superficial bladder carcinoma. Method： Retrospectively study of 46 cases from 1999 to 2005 , underwent TUVBT. Result： Postoperation all the patients received mitomycin C （ MMC ） intravesical instillation . no one was recurrence in 33 cases followup duration 36 months , 7 case recurrence. Condusion ：TUVBT is less invasive , with clear visual field , definitive resection depth , and less recurrence in treatment of superficial bladder carcinoma.