【摘要】 应用髂内动脉栓塞化疗术联合经尿道膀胱肿瘤切除术（TURBT）治疗膀胱肿瘤9例。结果3年复发率为22．2％，与同期膀胱部分切除术（20％）相同，明显低于单纯膀胱肿瘤电切术（3．5％）。显示动脉栓塞化疗可使肿瘤血管萎缩，瘤体明显缩小，控制严重血尿，减少术中出血，防止肿瘤细胞播散转移，促使粘膜原位癌消失，增加了肿瘤电切的切除率。认为这种联合治疗方法可以取代膀胱部分切除术，对减少膀胱部分切除的次数，保留膀胱及其生理功能有一定意义。更多还原

【Abstract】 The selective embolization and chemotherapy of the internal iliac artery with transurethral electroresection of bladder tumor was carried out in 9 cases for the treatment of blad-der carcinoma. 3 years recurrence rate of bladder carcinoma with this method (22.2% ) were lower than those only TURBT (39. 5 % ). It was similar that 3 years recurrence rate of embolization and chemotherapy of the internal iliac artery with TURBT compared with partialcystectomy (20% ).This treatment method might cause atrophy of carcinomatous artery, control of serious hematuria,reduction of bleeding on the TURBT, Killing of carcinoma in situs on the mucosa and prevention of matastasis. Chance of TURBT might be enhanced with shrinkage of tumor mass in large bladder carcinoma. It was concluded that this treatment method could be insteaded of partial cystectomy.Thus partial cystectomy might be reduced and the bladder function might be retained.更多还原