铥激光低功率下整块切除浅表性膀胱肿瘤的临床应用(40例病例报告)  

Transurethral Low-power Thulium Laser En Bloc Resection of Bladdder Tumor:Report of 40 Cases

作　　者：薛松[1] 张青川[1] Xue Song;Zhang Qingchuan(Department of Urology,Putuo Hospital Affiliated to Shanghai Traditional Medicine University,Shanghai 200062,China)

机构地区：[1]上海中医药大学附属普陀医院泌尿外科,上海200062

出　　处：《应用激光》2021年第6期1353-1356,共4页Applied Laser

基　　金：上海中医药大学预算内项目(18LK060)。

摘　　要：目的:总结应用VELA-铥激光低功率下整块切除浅表性膀胱肿瘤的临床应用经验,并评估其疗效及安全性。方法:自2017年5月至2019年5月间,应用经尿道VELA-铥激光治疗浅表性膀胱肿瘤患者40例,其中男性25例,女性15例,平均年龄64.15岁±10.35岁(49~81岁)。结果:40例患者均在全麻下一次手术成功,平均手术时间(25.54±7.13)min,单个肿瘤平均切除时间为(15.9±4.24)min,无一例因术中大出血或穿孔终止手术或改行其他术式,未出现术中闭孔神经反射,术后无一例出现严重的出血及感染。术后平均留置导尿时间为72 h,术后平均膀胱冲洗时间为(12.50±4.25)h。平均随访时间(14.20±2.13)个月,随访期1年内每3个月复查膀胱镜,1年后每6个月复查膀胱镜,累计复发3例,复发率7.5%。结论:经尿道VELA-铥激光整块切除浅表性膀胱肿瘤无严重围手术期并发症,短期复发率低,是治疗多发浅表性膀胱肿瘤的一种可选的安全、高效的手术方法。Objective:To evaluate the safety and efficiency of transurethral low-power thulium laser en bloc resection of non muscle-invasive bladder tumor.Methods:total of 40 non muscle-invasive bladder tumor patients treated in our hospital from May 2017 to May 2019 were enrolled,including 25 male patients and 15 female patients with the average age of(64.15±10.35)years old.All the patients were treated with transurethral en bloc resection by using the VELA-thulium laser under low power of 15-20 W.Results:All the operations were finished successfully in one time under general anesthesia.The average time of operation was(25.54±7.13)min.No obturator nerve reflex,bladder perforation and massive bleeding was recorded intraoperatively.There was no severe urinary tract infection and blood loss postoperatively.The mean following-up time was(14.20±2.13)months.3 cases(7.5%)had tumor recurrence.Conclusions:Transurethral low-power thulium laser en bloc resection is a safe and effective therapeutic method in treatment of non muscle-invasive bladder tumor.

关 键 词：膀胱肿瘤 铥激光 整块切除 低功率 

分 类 号：R737.14[医药卫生—肿瘤]