经尿道2μm激光汽化切除术治疗非肌层浸润性膀胱肿瘤78例  

Per urethra 2 μm Laser Vaporization Exsection in Treatment of 78 Patients with Non-muscle-invasive Bladder Cancer

作　　者：陈宇东[1] 韩刚[1] 刘伟英[1] 王领军[1] 王强[1] 王志鹏[1] 王卫宁[1] 刘同伟[1] 苑海波[1] 李春吾[1] 殷晓松[1] 白旭青[1] 乔刚[1] 梅光明[1] 历梅[1] 张倩[1] 

机构地区：[1]解放军252医院泌尿外科,河北保定071000

出　　处：《解放军医药杂志》2013年第3期50-52,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的探讨经尿道2μm激光汽化切除术治疗非肌层浸润性膀胱肿瘤的效果和安全性。方法对2011年3月—2012年3月解放军252医院应用经尿道2μm激光汽化切除术治疗非肌层浸润性膀胱肿瘤78例临床资料进行分析。结果 78例手术均获成功。平均手术时间63 min。无闭孔反射及膀胱穿孔等并发症发生,平均留置导尿时间7 d。2例出院1周后因严重血尿再次入院,经膀胱镜下2μm激光止血后治愈。术后随访3～15个月,2例复发,经再次2μm激光治疗后未复发。结论经尿道2μm激光汽化切除术治疗非肌层浸润性膀胱肿瘤具有出血少、围术期安全性高、并发症少等优点,而且操作安全简便,易于掌握。Objective To explore the curative effectiveness and safety of per urethra 2 μm laser vaporization exsection in treatment of non-muscle-invasive bladder cancer.Methods The author performed per urethra 2 μm laser vaporization exsection for 78 patients with non-muscle-invasive bladder tumors during March 2011 and March 2012.The patients＇ clinical data were retrospectively analyzed.Results All operations were successful.The average operative time was 63 min.There was no complication such as obturator nerve reflection and vesical perforation,and the average detained urethral catheterication time was 7 d.Two patients were readm one week after discharge for severe hematuria,and were cured with 2 μm lasers hemostasis through cystoscopes.There were 2 cases of recurrence in 3-15 months of followup,The recrudescent cases were cured with 2 μm laser therapy,and no recurrence occurred.Conclusion The method of per urethra 2 μm laser vaporization exsection in treatment of non-muscle-invasive bladder cancer is little blood loss,less pain and high safety in peroperative period which has advantages such as simple and easy practice.

关 键 词：膀胱肿瘤 激光手术 治疗结果 

分 类 号：R737.14[医药卫生—肿瘤]