根治性经尿道绿激光汽化治疗浸润性膀胱癌(附10例报道)

Green Laser Vaporization Transurethral Radical Resection of Muscle-invasive Bladder Cancer: A Report of 10 Cases

目的探讨根治性经尿道绿激光汽化术治疗浸润性膀胱癌的疗效。方法 2010年2月至2013年2月对10例浸润性膀胱癌患者,施行了根治性经尿道膀胱肿瘤绿激光汽化术,手术参照根治性经尿道膀胱肿瘤电切术原则,肿瘤部位切除至膀胱外脂肪层。术后给予表柔比星膀胱灌注治疗,随访3～24个月。结果 2年内复发2例,复发率20%(2/10),对复发者再次行经尿道膀胱肿瘤绿激光汽化术。结论对年老体弱不能耐受或不愿意接受膀胱全切的浸润性膀胱癌患者可施行根治性经尿道绿激光汽化术,以达到延长生命,提高生活质量的目的。

Objective To evaluate the clinical efficacy of radical green laser resection of invasive bladder tumor . Methods Ten patients with invasive bladder cancer from february 2010 to February 2013 were treated by radical green laser resection of invasive bladder tumor .The operation procedure was based upon the principle of radical transurethral resection for bladder tumor .The tumor was resected to fatty layer outside the bladder wall .After operation Epirubicin irrigation of bladder was given ,all patients were followed up for 3 to 24 months.Results The recurrence occurred in 10 cases in 2 years,with a recurrence rate of 20%(2/10).These recurrence cases were treated with radical green laser resection again .Condusions Radical green laser resection of invasive blad-der tumor is suitable for those who are older or weak ,and not medically fit for radical cystectomy or those who re-fuse the open surgery ,which can prolong the survival time and improve the quality of life .