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为了解膀胱癌部份切除术后.腔内灌注丝裂霉素.噻替哌、顺铂和卡介苗预防癌肿复发的疗效.作者对78例膀胱肿瘤分4组灌注进行随访观察.结果显示肿瘤5年复发率是丝裂霉素组58.8%、噻替哌组66.6%、顺铂组58.3%、卡介苗32%。膀胱癌的预后还与肿瘤的分类、分级、细胞分化有关,Ⅰ-Ⅱ级二年内复发因肿瘤转移而死亡42%,它们的临床副作用反映分别为23.5%、25%、33.3%、48%,本文对4种药物膀胱腔内灌注预防复发的疗效作了比较。
To understand the partial resection of bladder cancer. Intraluminal infusion of mitomycin. Thiotepa, cisplatin and BCG to prevent the recurrence of cancer. The author of 78 cases of bladder tumor divided into 4 groups were followed up. The results showed that the 5-year recurrence rate was 58.8% in mitomycin group, 66.6% in thiotepa group, 58.3% in cisplatin group and 32% in BCG group. The prognosis of bladder cancer is also related to the classification, grading and cell differentiation of tumor. The grade Ⅰ-Ⅱ patients died of tumor metastasis in 42% within two years, and their clinical side effects were 23.5%, 25% and 33.3% , 48%, this article on the four drugs in the prevention of bladder intravesical instillation of the efficacy of a comparison.