经尿道电切术同期治疗前列腺增生合并膀胱肿瘤（附59例报告）  

Transurethral Resection of Benign Prostate Hyperplasia and Bladder Tumor at the Same Time （a Report of 59 Cases）

作　　者：范海涛[1] 任明[1] 国贺[2] 

机构地区：[1]吉林大学第二医院泌尿外科,吉林长春130041 [2]吉林大学中日联谊医院放疗科,吉林长春130033

出　　处：《医学临床研究》2009年第12期2232-2234,共3页Journal of Clinical Research

摘　　要：【目的】探讨前列腺增生（BPH）合并膀胱肿瘤患者的同期经尿道电切术治疗。【方法】2000年6月至2009年1月，吉林大学第二医院泌尿外科共收治BPH合并膀胱肿瘤患者59例，采用同期经尿道电切治疗，术后按时给予膀胱灌注化疗。【结果】所有手术均成功，术中出血量50～600mL，平均120mL。手术时间40～150min，平均60min。无大出血、膀胱穿孔、电切综合征等发生。术后病理回报均为膀胱移行细胞癌合并BPH。6例出现短暂尿失禁，经盆底功能锻炼后好转。4例尿道狭窄，经定期尿道扩张后治愈。6例患者术后复发，活检病理确认后再次行经尿道膀胱肿瘤电切术，术后更换灌注药物，再次随访12个月，无复发。3例病人术后出现近期出血，经入院给予留置导尿、牵引尿管、持续膀胱冲洗、抗炎、对症等保守治疗，出血停止。去除尿管后排尿通畅。【结论】同期电切膀胱肿瘤及BPH可获得满意疗效，具有手术时间短，创伤小、术后恢复快、无肿瘤切口种植转移等方面优点。同期电切膀胱肿瘤和增生的前列腺还可大大减轻患者麻醉及手术的痛苦，并明显减少治疗费用。[Objective] To investigate whether benign prostate hyperplasia（BPH） and bladder tumor can be treated at the same time by transurethral resection. [Methods] Fifty nine cases of BPH with bladder tumor were treated at the same time from June 2000 to January 2009. Chemotherapy of irrigation of bladder was adopted after operations. [Results] All the cases succeeded. There was no case of hemorrhea, vesical perforation or transurethral resection syndrome. Pathological diagnosis was transitional cell carcinoma of bladder and benign prostate hyperplasia. All the cases pissed well. Incontinence of urine happened in 6 cases and disappeared soon. Stricture happened in 4 cases which were cured by dilation of urethra. Relapse of other position happened in 6 cases. There was no relapse in situ. The relapse cases underwent another transurethral resection and chemotherapy with hydroxycamptothecine was used. [Conclusion] Benign prostate hyperplasia（BPH） and bladder tumor can be treated at the same time by transurethral resection. Operations at the same time have good results. Trauma is little and recovery is quick. Treatment cost decreases obviously.

关 键 词：前列腺增生/并发症 膀胱肿瘤/并发症 前列腺增生/外科学 膀胱肿瘤/外科学 尿道/外科学 电外科手术 

分 类 号：R697.3[医药卫生—泌尿科学]