采用由窥视下经尿道用微波治疗膀胱疾病84例,其中膀胱肿瘤26例、膀胱粘膜溃疡42例、腺性膀胱炎8例、输尿管口囊肿5例、尿道内口息肉3例。结果显示术后无1例发生大出血或膀胱穿孔。随访24个月,除2例膀胱肿瘤和Ⅰ例腺性膀胱炎复发外,其余效果良好。因此认为经膀胱镜用微波治疗膀胱疾病是一种安全有效的方法,操作简便,不需要昂贵的设备,出血少,视野清晰,病人痛苦少。 84 cases of bladder diseases were treated with microwave by peeping through the urethra, including 26 cases of bladder tumor, 42 cases of mucosal ulcer, 8 cases of cystitis glandularis, 5 cases of ureterocele and 3 cases of polyp in the urethra. No postoperative bleeding or bladder perforation occurred in 1 patient. All the patients were followed up for 24 months. The results were good except for 2 cases of bladder tumor and 1 case of cystitis glandularis recurrence. So that cystoscopy with microwave treatment of bladder disease is a safe and effective method, easy to operate, do not require expensive equipment, less bleeding, clear vision, the patient less pain.