2μm激光治疗浅表性膀胱多发肿瘤的疗效观察  

Efficacy of 2 micron laser for the treatment of superficial bladder tumor which was multiple

作　　者：夏海波[1] 包国昌[1] 任晓磊[1] 

机构地区：[1]赤峰学院附属医院,内蒙古赤峰024000

出　　处：《激光杂志》2016年第9期150-152,共3页Laser Journal

摘　　要：目的:探讨2μm激光汽化切除术治疗浅表性膀胱多发肿瘤的安全性及疗效。方法:浅表性膀胱多发肿瘤患者共86例,肿瘤数目为3至8个,肿瘤直径0.5至3.5cm不等,全部肿瘤均为膀胱尿路上皮癌,病理分级为G1至G2,临床分期为Ta、T1。应用2μm激光汽化切除系统,对膀胱肿瘤给予汽化切除。术后常规行膀胱灌注治疗,并定期行膀胱镜检查。结果:所有病例均手术成功,术中出血<20ml,手术时间30至165min。所有患者均未输血,无闭孔神经反射、膀胱穿孔、尿外渗等发生。术后4例患者出现继发性出血,保守治疗后出血停止。术后7至9天拔除尿管,所有患者排尿情况良好。术后随访6至24个月,27例发生肿瘤复发,无尿道狭窄等并发症发生。结论:2μm激光汽化切除术是治疗浅表性膀胱多发肿瘤一种安全、有效的方法。Objective：To evaluate the safety and efficacy of 2 micron laser for the treatment of superficial bladder tumor which was multiple. Methods ： A total of 86 patients with superficial bladder tumor which was multiple were treated with 2 micron laser. The number of tumor was three to eight. The diameter of the tumor was 0. 5-3.5cm,and all the patients were pathologically confirmed to be urothelial carcinoma by biopasy with the pathology grade G1-62 and clinical stage Ta, T1. All the cases were treated by chemistry irrigation, and follow up with eystoseope. Results：All the patients underwent operations successfully and the volume of bleeding was very small（〈20ml）. The operating time was 30-165 minutes. No patients required blood transfusion, and no complications such as obturator nerve reflex, bladder perforation and overhydration occurred. Secondary hemorrhage occurred in 4 cases. 7 to 9 days after the operation, the catheter was withdrawn. The patients were followed up from 6 to 24 months, and the tumor recurred in 27 patients. There was no urethral stricture and other complication occurred. Conclusion ：2 micron laser in the treatment of superficial bladder tumor which was multiple is a safe, effective and minimally invasive method.

关 键 词：2ΜM激光 浅表 膀胱多发肿瘤 疗效 

分 类 号：TN249[电子电信—物理电子学]