经尿道同期电切膀胱肿瘤和良性前列腺增生的疗效观察

Clinical Observation of Simultaneous Transurethral Resection of Bladder Tumor and Benign Prostatic Hyperplasia

目的分析同期经尿道膀胱肿瘤电切术（TURBT）和经尿道前列腺电切术（TURP）治疗膀胱肿瘤的效果及并发症发生情况。方法回顾性分析年龄〉60岁的50例老年男性膀胱肿瘤患者，在TURBT时同时和不同肘切除前列腺的临床资料。将患者分为甲乙两组，膀胱肿瘤和前列腺切除的为甲组（25例），单纯膀胱肿瘤切除的为乙组（25例），比较两组肿瘤术后的复发情况。结果经1～3年的随访观察结果显示，甲组复发率为24％（6／25），与乙组的36％（9／25）相比较，差异具有统计学意义。甲组的尿道前列腺部未发现有膀胱肿瘤复发和种植。结论TURBT和TURP可降低肿瘤的复发，并且不会增加尿道前列腺部肿瘤细胞种植的风险。该术式疗效佳且安全可靠。

Objective To analyse the therapeutic effect and complications of simultaneous transurethral resection of bladder tumor （TURBT） and transurethral resection of prostate （TURP） when treating bladder tumor. Methods Tile clinical data of 50 senile male cases （ 〉60 years old） with bladder tumor performing TURBT simultaneously was analyzed retrospectively. The 50 cases were divided into two groups. Group Ⅰ （n = 50 ） received simultaneous TURBT and TURP and Group Ⅱ （n = 50 ） accepted single TURBT. The recurrences in the two groups were analyzed respectively. Results The 1 - 3 years of follow - up showed the tumor recurrence rate was 24% （6/25） in group Ⅰ and 36% （9/25） in group Ⅱ. There was significant difference. Meanwhile the recurrence and neoplasm seeding were not found at the prostatic urethra in the group Ⅰ. Conclusion The study shows that simultaneous TURBT and TURP can reduce the recurrence of the bladder tumor and doesn＇ t increase the risk of neoplasm seeding at the prostatic urethra. This operation is safety and reliability.