膀胱横段切除术24例

目的　探讨膀胱癌、早期前列腺癌手术治疗的新方法。方法　对１８ 例膀胱颈部及三角区肿瘤、６例前列腺癌（共２４ 例） 不做传统的膀胱前列腺全切及尿流改道术，而行膀胱颈部横段切除加前列腺切除，膀胱尿道或膀胱前列腺包膜吻合术。结果　经病理证实肿瘤切除彻底，术后经１ 年～４ 年６ 个月的随诊，（ 随诊２３例） ，其中膀胱癌１８ 例，２ 年内复发４ 例，复发率２２ ％ ；前列腺癌６ 例复发１ 例，复发率２０ ％ 。术后均排尿通畅，残余尿量平均６０ｍｌ，少数病人有暂时性尿失禁，均于术后３ 个月消失。结论　此术式比传统的膀胱全切尿流改道术损伤小，且能完全切除肿瘤，并保留了部分膀胱，术后病人有正常排尿功能，提高了病人的生活质量。

Transvesical Ectomy in 24 Cases

Objective To explore the new surgical methods to treat cystocancer and prostatic cancer in the early stage.Methods Transversical ectomy and prostato ectomy and cystourethra anastomosis or cystoprostatic preputial anastomosis were performed in 18 patients with cystotrachelo and triangle tumor and 6 patients with prostatic cancer(24 patients totally) instead of traditional all cystoprostato ectomy and urethrostomy.Results It was a pathological proof that the tumor had been cut off thoroughly and after one to four and a half years visiting (visiting 23 cases),18 cases of cystocancer, of which 4 cases had a relapse and the relapse rate was 22%. One case of 6 prostatic cancers had a relapse and the rate was 20%. After operation,all the patients can urinate easily and the average amount of remaining urine was 60ml.Only few patients could lose the control of urinating but symptoms disappeared in three months after operation.Conclusion It is believed that this ectomy has less damage than traditional all cystoure throectomy.It can also cut all tumor off and remain part of urinary bladder.And after operation the patients have normal function for urination and promote the living quality of the patients.