同期经尿道切除膀胱肿瘤和前列腺的安全性和疗效观察（附16例报告）

目的：探讨同期经尿道切除膀胱肿瘤和前列腺治疗表浅性膀胱癌合并良性前列腺增生症的手术安全性和临床疗效.方法：16例表浅性膀胱癌合并良性前列腺增生症患者,先行经尿道膀胱肿瘤电切术（TURBT）切除膀胱肿瘤后同期行经尿道前列腺电切术（TURP）切除前列腺.结果：患者均顺利完成手术,无膀胱穿孔和电切综合征发生,术后随访6～36个月,平均22个月,6例发生膀胱肿瘤复发,平均复发时间14个月,复发部位均不在膀胱颈口和前列腺尿道,全部再次行TURBT.结论：同期经尿道切除膀胱肿瘤和前列腺治疗表浅性膀胱癌合并良性前列腺增生症手术安全、短期疗效确切,可适用于一部分年龄较大伴有严重的下尿路梗阻的且肿瘤分期、分级低的表浅性膀胱肿瘤患者.

Analysis of Simultaneous Transurethral Resection of Bladder Tumour and Prostate for Superficial Bladder Cancer with Benign Prostatic Hyperplasia

Objective： To evaluate the feasibility and clinical effect of simultaneous transurethral resection of bladder tumor （TURBT） and transurethral resection of prostate （TURP） for superficial bladder cancer （SBC） with benign prostatic hyperplasia （BPH）. Methods：The clinical data of 16 patients with SBC and BPH were retrospectively reviewed . All the patients received simultaneous TURBT and TURP. Results：Patients were successfully operated, no bladder perforation and transurethral resection syndrome. Tbe following up period ran,ged from 6- 36 months. Recurrence occurred in 6 patients with average recurrence time of 14 months, but no bladder neck and prostatatic urethra implantation, all did TURBT again. Conclusions： Our data indicate that simultaneous TURBT and TURP is a safe and effective alternative treatment for old SBC patients with BPH , do not negatively affect tumor implancation at the bladder neck and prostatic urethra.