经尿道电切术治疗良性前列腺增生合并膀胱肿瘤50例分析

目的:探讨经尿道电切术同期治疗良性前列腺增生合并膀胱肿瘤的可行性和疗效。方法:50例良性前列腺增生合并膀胱肿瘤患者,均同期行经尿道电切术,术后予丝裂霉素膀胱灌注。结果:无一例中转开放手术,术中无大出血和穿孔等并发症。平均手术时间、住院时间、术中出血量分别为(78±23) min、(6.4±2.0)天、(90±39) ml。术后随访5~30个月,复发6例,无尿道、前列腺窝、膀胱造瘘口等处的种植转移。术后平均国际前列腺症状评分、最大残余尿、最大尿流率与术前相比差异均有统计学意义(P<0.01)。结论:良性前列腺增生合并膀胱肿瘤行经尿道电切术安全,疗效可靠,并发症少。

Transurethral resection of benign prostate hyperplasia and bladder tumor:a report of 50 cases

Objective：To investigate the efficacy and safety of transurethral resection for benign prostatic hyperplasia（BPH） and bladder neoplasm in one-stage.Methods：The clinical date of 50 cases of bladder neoplasm with BPH were retrospectively analysed.Results：All operations were successful and no case was conversed to open surgery.No one received blood transfusion and no severe complication was observed.The average operation time,hospitalization time and total operative blood loss were（78±23） min,（6.4±2.0） days and（90±39） ml,respectively.The follow-up period ranged from 5 to 30 months.Recurrence rate at average follow-up period of 15 month was 12%（6/50）.There was no implantation of urethral and bladder orificium fistulae.There were significant differences in IPSS,residual urine and maximum flow rate（P0.01）.Conclusions：Transurethral resection is a safe surgery therapy which can be recommended as an effective treatment for BPH with bladder neoplasm in one-stage.