【摘要】 目的探讨经尿道绿激光汽化术治疗非肌层浸润性膀胱肿瘤的手术方法,安全性和疗效。方法 2009年10月至2010年4月,28例非肌层浸润性膀胱肿瘤患者接受经尿道绿激光汽化术,回顾手术时间、治疗效果。结果手术时间平均20min,术中无闭孔反射,无膀胱穿孔,无TUR综合征,几乎无出血,无输血病例。术后留置尿管2～7d,术后复发率10.7%,术后均行正规膀胱灌注化疗和膀胱镜定期检查,所有患者均存活,无死亡病例。结论经尿道绿激光汽化术治疗非肌层浸润性膀胱肿瘤,疗效确切,安全可靠,可以作为治疗非肌层浸润性膀胱肿瘤的理想治疗方法。更多还原

【Abstract】 Objective To explore safety and efficacy of green laser vaporization transurethral resection for non-nvasive bladder cancer. Methods 28 cases accepted green laser vaporization transurethral resection for non muscle-invasive bladder cancer. Reviewed operative time and efficacy. Results The mean operative time was 20 minutes,NO case had obturator nerve reflex,vesical perforation and TUR syndrome,nearly no bleeding,no case accepted blood transfusion. All cases were settled catheter 2-7 days. The recurrence rate of bladder neoplasms was 3.45%. After operation,irrigation of bladder and regular inspection with cysloscope were used. All cases were survival. Conclusion Green laser vaporization transurethral resection for non-nvasive bladder cancer is safe and effective. This operation may become ideal method for treatment of non-nvasive bladder cancer.更多还原