蓝激光侧出光在膀胱肿瘤汽化剜除术中的应用(附16例报告)  

Application of blue laser side light in the vaporization and enucleation of bladder cancer:a report of 16 cases

作　　者：郝晓航[1] 李腾 胡燕[1] 胡遵杰 屠凡倬 张庆云[1] 赵永伟[1] HAO Xiaohang;LI Teng;HU Yan;HU Zunjie;TU Fanzhuo;ZHANG Qingyun;ZHAO Yongwei(Urinary Nephropathy Laser Treatment Center,Yingsheng Branch of Taian Central Hospital,Taian 271000,China)

机构地区：[1]泰安市中心医院迎胜院区泌尿肾病激光治疗中心,山东泰安271000

出　　处：《现代泌尿外科杂志》2023年第2期122-124,共3页Journal of Modern Urology

摘　　要：目的观察蓝激光侧出光光纤在治疗非肌层浸润性膀胱肿瘤手术中的应用效果。方法回顾性分析在临床治疗非肌层浸润型膀胱肿瘤过程中应用50 W蓝激光治疗仪行经尿道膀胱肿瘤剜除术的患者资料,通过观察术中处理不同部位膀胱肿瘤时蓝激光侧出光纤的应用情况,记录手术时间、是否出现膀胱穿孔及术后尿常规等指标来评价手术效率及安全性。结果完成手术16例,5例为多发膀胱肿瘤,9例为单发膀胱肿瘤,苔藓样病变2例。术后病理结果均为非肌层浸润性尿路上皮癌;手术时间(10.4±4.7)min;术中无膀胱穿孔情况;术后尿常规红细胞计数(689.4±316.7)个/μL。结论50 W蓝激光治疗仪侧出光模式可以应用于非肌层浸润型膀胱肿瘤的手术治疗,术中可在直视条件下对膀胱肿瘤进行基底汽化剜除操作,并且其侧输模式所呈现出的多角度剜除操作适用于不同位置的膀胱肿瘤。蓝激光的组织穿透深度浅,有利于病理组织的诊断与分级。Objective To observe the efficacy of blue laser side light in the vaporization and enucleation of non-muscle invasive bladder cancer(NMIBC).Methods A retrospective analysis was performed on the data of NMIBC patients who received transurethral enucleation of bladder tumor(TURBT)using a 50 W blue laser treatment device.The efficacy and safety of surgery were evaluated by observing the application of blue laser in the treatment of bladder cancer in different locations,operation time,presence of bladder perforation and postoperative urine routine indicators.Results A total of 16 patients completed the surgery,including 5 cases with multiple bladder tumors,9 with single bladder tumor,and 2 with lichenoid lesions.The postoperative pathological results showed all of them were NMIBC.The operation time was(10.4±4.7)min,postoperative urinalysis was(689.4±316.7)/μL,and no intraoperative bladder perforation occurred.Conclusion The lateral infusion mode of 50 W blue laser therapy device can be applied to the surgical treatment of NMIBC.The basal vaporization and enucleation of bladder cancer can be performed under direct vision conditions,and the multi-angle enucleation is suitable for bladder cancer in different positions.The tissue penetration depth of blue laser is shallow,which is conducive to the diagnosis and grading of pathological tissues.

关 键 词：膀胱肿瘤 蓝激光 侧出光 汽化 肿瘤剜除术 

分 类 号：R737[医药卫生—肿瘤]