摘要
目的 总结应用经尿道钬激光和电切术治疗浅表性膀胱肿瘤的疗效并进行临床比较。方法 分别采用经尿道钬激光或电切术治疗浅表性膀胱肿瘤 14例。男 9例 ,女 5例。平均年龄 5 9岁。肿瘤单发 10例 ,多发 4例 ,原发 12例 ,复发 2例 ,合并膀胱结石 2例。肿瘤直径 0 .3～ 3.8cm,分期 T1 ～ T2 病理分级 G1 ～G2 。结果 14例手术均一次成功 ,手术平均时间 2 5 min,平均出血量 <2 0 ml,术后均行丝裂霉素膀胱灌注化疗。 14例随访 3～ 9个月 ,平均 6 .5个月 ,复发 1例 ,复发率 7%。结论 经尿道钬激光切除膀胱肿瘤操作简单 ,几乎无并发症 ,而经尿道肿瘤电切术操作时间短 ,疗效确切 。
Objective To evaluate and compare Ho:YAG laser and TURBt in the treatment of superficial bladder tumors.Methods 14 patients with superficial bladder tumors underwent endoscopic holmium laser resection or TURBt,9 male and 5 female with an average age of 59. The development of tumors was single in 10,multiple in 4, original in 12 and recrudesce in 2,combination of vesical calculus in 2.The diameter of the tumor was 0.3～3.8 cm with the pathology grade G 1～G 2 and clinical stage T 1～T 2.Results The procedure was successful in 14 cases.The mean resection time was 25 minutes,and the mean volume of bleeding was less than 20 ml.All patients were followed up for 3～9 months with a mean of 6.5 months.One patient(7%) had out of field recurrence.Conclusion Ho:YAG laser resection of bladder tumor(HoLRBt) is a simple technique that will lead to no serious complications,while TURBt has the advantages of precise resection and short operating-time.Sometimes the two methods can be combined with each other.
出处
《淮海医药》
2005年第2期105-106,共2页
Journal of Huaihai Medicine
