经尿道电切术治疗浅表性膀胱癌

The Treatment of Superficial Bladder Tumor by Transurethral Resection

目的 观察经尿道电切术治疗浅表性膀胱癌 ,术后膀胱内灌注丝裂霉素化疗的临床疗效。方法 采用经尿道膀胱肿瘤电切术 (TURBT) ,术后间断灌注丝裂霉素 (MMC 2 0mg/2 0ml)的方法治疗浅表性膀胱肿瘤 3 2例。结果 3 2例膀胱肿瘤均一次性切除 ,8例在术后 6个月至 2年复发 ,再次行TURBT ,术后观察至今未复发。结论 TURBT结合术后灌注丝裂霉素治疗浅表性膀胱肿瘤 ,是一种可重复应用的、简便、安全。

Objective To investigate clinical effects of transurethral resection of bladder tumor (TURBT) combined with postoperative perfusion of mitomycin C to urinary bladder on superficial bladder cancer. Methods 32 patients with superficial bladder cancer were treated by TURBT and discontinuous perfusion of mitomycin C (20mg/20ml) to urinary bladder. Results 32 cases of the superficial bladder cancers all were once ablated. 8 cases relapsed in 6 months to 2 years of postoperation, which were treated by TURBT and discontinuous perfusion of mitomycin C to urinary bladder again, and relapse was not found from postoperation to present. Conclusions Treatment of TURBT combined with perfusion of mitomycin C on superficial bladder cancer is repeatable, simple, safe and effective.