膀胱镜下Nd:YAG激光治疗膀胱复发性肿瘤疗效观察

Cystoscopic resection of bladder recurrent tumor by Nd:YAG laser

目的 :探讨膀胱镜下 Nd:YAG激光手术治疗膀胱复发性肿瘤的安全性和有效性。方法 :对我们1995年 6月～ 2 0 0 0年 2月期间收治的 46例膀胱复发性肿瘤患者行膀胱镜下 Nd:YAG激光手术治疗。结果 :手术全部成功 ,肿瘤切除彻底 ,术中和术后无出血、膀胱穿孔等并发症 ;术后随访 6个月～ 4年以上 ,异位复发 2例 ,复发率为 4.3%。结论 :Nd:YAG激光治疗膀胱复发性肿瘤操作简便 ,安全系数高 ,效果确切 ,并具有痛苦少、费用低、无并发症等优点 ,对年老和体质差的患者尤为适宜 。

Purpose:To evaluate the effectiveness and safety of cystoscopic Nd:YAG laser treatment of recurrent bladder tumors.Methods:46 cases of recurrent bladder tumors were treated using Nd:YAG laser cutting and vaporization from june 1995 to february 2000.Results:Nd:YAG laser was effectively used to treat recurrent bladder tumor in 46 patient. There were no intraoperation complications such as bleedding, perforation and delayed complications.Conclusions:It has been demonstrated that Nd:YAG laser therapy is provided with advantages of simple procedure, lower cost, high effect and safety, it can be performed in patients of elder age or in a poor condition with bladder tumor.