经尿道绿激光汽化术治疗表浅膀胱肿瘤(附33例报告)

目的]探讨经尿道绿激光汽化术治疗浅表膀胱肿瘤的手术方法、安全性与疗效。方法]2004年9月~2007年12月,33例浅表膀胱肿瘤患者接受经尿道绿激光汽化术治疗,回顾手术时间,治疗效果。结果]手术时间平均为12min(单发肿瘤5~9min,多发10~35min),术中无闭孔神经反射、无膀胱穿孔、无TUR综合征、几乎无出血、无输血病例。术后留置双腔气囊尿管3d,不需膀胱冲洗,术后膀胱肿瘤复发率0%,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,未发生死亡病例。其中1例由于肿瘤巨大改为TURBT术。结论]经尿道绿激光汽化术治疗表浅膀胱肿瘤,疗效确切,安全可靠,此术式有望成为治疗浅表膀胱肿瘤的主要方法。

GREEN LASER VAPORIZATION TRANSURETHRAL RESECTION FOR SUPERFICIAL BLADDER CANCER(WITH 33 CASE REPORTS)

Objective] To inquire safety and efficacy of green laser vaporization transurethral resection for bladder carcinoma. Methods] 33 cases accepted green laser vaporization transurethral resection for superficial bladder cancer.Reviewed operative time and efficacy. Results] The mean operative time was 12 minutes (solitary 5-9 minutes, multipce 10-35 minutes) . No case had obturator nerve reflection, bladder perforation and Tur syndrome, nearly no bleeding, no case accepted blood tramsfusion.All case indwelling double channel catheter time ranged 3 days. None needed pose operative bladder perfusion, none developed recurrence.All case surviral. One case accepted TURBT operation because tumor was huge. Conclusion] Green Laser vaporization transurethral resection for superficial bladder cancer is safe and effective.This operation may become a main method for suoerficial bladder caner.