1983～1992年,我院对108例膀胱癌患者施行膀胱部分切除,术后顺铂腔内灌注,取得满意疗效。1.临床资料:男性86例,女性22例,年龄19～79岁。除2例为查体时发现外,其余病人均以间歇性、无痛性血尿就诊,经B超、膀胱镜及病理证实。单发肿瘤90例,占84%;多发肿瘤18例,占16%。肿瘤小者直径1cm,大者直径6.8cm。移行细胞癌105例(占96.3%),磷癌1例,腺癌2例。随访91例,随访时间最长10年,最短3个月。2.手术方法:持续硬膜外麻醉,下腹部正中切口,切开膀胱后,直视下于肿瘤基底及周边注射顺铂40～100mg。沿肿瘤外缘2cm处全层膀胱部分切 From 1983 to 1992, 108 cases of bladder cancer patients undergone partial resection of the bladder and cisplatin after intraluminal perfusion, and achieved satisfactory results. 1. Clinical data: 86 males and 22 females, aged 19 to 79 years. Except for 2 cases found when the examination, the rest of the patients were treated with intermittent, painless hematuria, B ultrasound, cystoscopy and pathology confirmed. 90 cases of single tumor, accounting for 84%; multiple tumors in 18 cases, accounting for 16%. Small tumor diameter 1cm, the largest diameter 6.8cm. 105 cases of transitional cell carcinoma (96.3%), 1 case of phosphorus cancer and 2 cases of adenocarcinoma. Follow-up 91 cases, the longest follow-up of 10 years, the shortest 3 months. 2. Surgical methods: continuous epidural anesthesia, incision in the middle of the lower abdomen, incision of the bladder, under direct vision in the basilar and peripheral injection of cisplatin 40 ~ 100mg. 2cm along the tumor edge of the full-thickness part of the bladder cut