Wang Wei-ming, Ye Min, Chen Jian-hua, Zhang Liang, Kong Liang, Zhu Ying-jian
Department of Urology, Xinhua Hospital, Shanghai Second Medical University, Shanghai 200092, China.
Zhonghua Zhong Liu Za Zhi. 2003 May;25(3):292-4.
To evaluate the method and clinical value of endoscopic surgery by comparing endoscopic resection and vaporization for superficial bladder tumor.
396 patients with superficial bladder papillary transitional cell carcinoma were treated by endoscopic therapy. 180 patients (Group A) were treated by transurethral resection of bladder tumor (TURBT) and 216 (Group B) by transurethral vaporization of bladder tumor (TVBT). Periodic postoperative intra-vascular instillation of chemotherapy was given to both groups. Operating time, amount of bleeding during operation, complications and recurrence rate were compared.
In group B, the amount of bleeding and complications during operation were lower than those in group A, but TVBT rated better by clearer view and simplicity in maneuver. The operating time, recurrence rate in group B were similar to those in group A.
Transurethral vaporization of bladder cancer, with simplicity in maneuver, less bleeding and fewer complications, rates better in effectiveness and clinical value than resection.
通过比较内镜下切除和汽化治疗浅表性膀胱肿瘤的方法，评估内镜手术的方法及临床价值。
对396例浅表性膀胱乳头状移行细胞癌患者进行内镜治疗。180例患者（A组）行经尿道膀胱肿瘤切除术（TURBT），216例患者（B组）行经尿道膀胱肿瘤汽化术（TVBT）。两组术后均定期进行膀胱内灌注化疗。比较手术时间、术中出血量、并发症及复发率。
B组术中出血量及并发症低于A组，但TVBT术视野更清晰，操作更简便。B组手术时间、复发率与A组相似。
经尿道膀胱肿瘤汽化术操作简便，出血少，并发症少，在有效性和临床价值方面优于切除术。
