摘要
目的探讨经尿道选择性绿激光汽化术（GPV）治疗膀胱浅表性移行细胞癌（TCC）患者的可行性。方法我院2004—06～2005—12引进绿激光系统，在骶管麻醉下利用经尿道选择性绿激光汽化术（GPV）对11例膀胱浅表性移行细胞癌（代C）患者和8例腺性膀胱炎患者进行肿瘤汽化术（其中2例合并BPH，先进行膀胱肿瘤的汽化，再行前列腺汽化）。应用60W绿激光，行经尿道肿瘤汽化术。治疗时间10～40min，平均25min，术后留置尿管2～7d，均无出血。术后常规吡柔比星30mg或丝裂霉素20mg，1次／周，膀胱灌注，术后复查膀胱镜。平均住院日8．9d。结果本组11例TCC患者，其中8例腺性膀胱炎患者，2例膀胱肿瘤汽化术后作前列腺汽化，膀胱肿瘤均直接汽化成功，无出血，肿瘤汽化至浅肌层，无闭孔神经反射及膀胱穿孔者。患者术后留置尿管2～7d。19例患者术后3～6个月复查膀胱镜见肿瘤消失、膀胱黏膜修复完整；8例腺性膀胱炎患者，定期复查膀胱镜，治疗效果满意。结论利用经尿道选择性绿激光汽化术（GPV）治疗膀胱浅表肿瘤，是一种安全、有效的腔道泌尿外科微创手术治疗方法之一。
Objective To discuss the possibility of GPV to treat TCC via ureteral. Methods 11 cases of TCC and 8 cases adeno - cystitis were treated with GPV with caudal anesthesia from June 2004 to December 2005. 60w GPV was used with 10 - 40 min （25 min in average） and remain urethral for 2 - 7 d without perfusion. The average hospitalized was 8.9 d. the bladder was irrigated routinely. Results All the cases were rocovered and satisfied after 3 - 6 months follow - up with cystoscope. Conclusion This method might be safe, effective and micro - in- vasive operation.
出处
《黑龙江医学》
2006年第9期677-678,共2页
Heilongjiang Medical Journal
