经尿道膀胱镜电切或电凝治疗膀胱黏膜白斑的疗效观察

目的：观察经膀胱镜电切或电凝治疗膀胱黏膜白斑的临床效果。方法：将68例膀胱黏膜一斑忠行随机分成两组，32例行电切术，36例行电凝术。每3个月随访决定是否行下一次治疗。治愈后随访12～36个月。结果：两组一次性治愈率分别为60％和26％，两次和三次性治愈率两组无明显差别。随访期间，两组分别有3例和5例复发。结论：经尿道膀胱镜电切或电凝术是治疗膀胱黏膜白斑有效的治疗疗法，其中电切术一次性治愈率高于电凝术。

Transurethral resection or electric coagulation for leukoplakia of bladder

Objective:To evaluate the clinical effect of transurethral resection or electric coagulation for the treatment of leukoplakia of bladder.Methods:Totally 68 patients with vesical leukoplakia were randomly divided into transurethral resection group(n=32)or electric coagulation group(n=36).The second treament session was performed in need according to the results of followed up at 3 months postoperatively.All patients were followed up for 12 to 36 months.Results:The cure rate in resection group and electric coagulation group were 60% and 26%,respectively.There are no difference in needing for second time or third treatment session between the two groups.Also,no difference in recurrent rate was noted in the 2 groups.Conclusions:Transurethral resection or electric coagulation provides excellent and effective therapy for leukoplakia of bladder.