经尿道KTP激光汽化术治疗浅表性膀胱肿瘤42例临床观察  

Transurethral KTP laser vaporization treatment of superficial bladder tumor(report of 42 cases)

作　　者：蒋绍博[1] 金讯波[1] 赵静[1] 孙鹏[1] 夏庆华[1] 

机构地区：[1]山东省立医院泌尿微创医学中心,山东济南250021

出　　处：《山东医药》2006年第20期11-12,共2页Shandong Medical Journal

摘　　要：目的探讨经尿道KTP激光汽化术治疗浅表性膀胱肿瘤的疗效及安全性。方法随机选取42例膀胱肿瘤患者(观察组)行经尿道KTP激光汽化术,另25例(对照组)行经尿道电切术(TURB t),观察两组手术效果。结果两组平均手术时间、导尿管留置时间、术后肿瘤复发、尿道狭窄发生率均无明显差异(P>0.05),观察组获得准确肿瘤分期例数明显多于对照组,而膀胱穿孔及术后膀胱冲洗例数明显少于对照组(P<0.05)。结论KTP激光汽化术是治疗膀胱肿瘤高效、安全的方法,在准确判断肿瘤分期、减少膀胱穿孔及减少出血方面优于TURB t,尤其适用于接受抗凝治疗的膀胱肿瘤患者。[Objective] To observe the clinical efficacy and safety of transurethral KTP laser vaporization for bladder tumors. [Methods] 42 bladder tumor cases were randomly assigned to undergo KTP laser vaporization, 25 cases of the control underwent standard transurethral resection of bladder tumor （TURBt）. The mean operative time, urethral catheter retaining time,postoperative recurrences,the case number of obtaining tumor stages,and the numbers of bladder perforation,postoperative bladder perfusion,and urethral strict were compared between the two groups. [Results] The mean operative time, dwelling urethral catheter time, incidences of urethral stricture and postoperative recurrence were not significantly different between the two groups （p〉0. 05）. Compared with TURBt group,more cases in KTP laser group obtained accurate tumor stages,less cases needed bladder perfusion and had bladder perforation （P〈0. 05）. [Conclusions] KTP laser vaporization is feasible and appears to be safe and effective for treatment of bladder tumors. In addition ,it has more advantages in obtaining accurate tumor stage ,reducing the incidence of bladder perforation and the amount of bleeding during operation than conventional TURBt, and specially in high-risk patients receiving anticoagulant therapy.

关 键 词：膀胱肿瘤 KTP激光 

分 类 号：R737.14[医药卫生—肿瘤]