经尿道红激光汽化切除治疗非肌层浸润性膀胱癌30例疗效观察

Efficacy report of 30 cases about transurethral red laser vaporization resecting for non-muscle invasive bladder cancer

目的：探讨经尿道红激光汽化切除治疗非肌层浸润性膀胱癌的疗效。方法对30例非肌层浸润性膀胱癌患者,采用980 nm 红激光治疗仪汽化切除包括肿瘤基底部及周围2 cm 范围的浅肌层膀胱组织,术后即刻进行膀胱灌注盐酸吡柔比星局部化疗。结果全部患者手术均获成功,平均出血量小于5 ml,无膀胱穿孔、闭孔神经反射及稀释性低钠血症的发生。随访6~20个月,7例患者术后复发,再次行经尿道红激光膀胱肿瘤汽化切除。结论经尿道红激光汽化切除治疗非肌层浸润性膀胱癌是一种安全、微创、出血量极少的治疗方法,疗效显著,并发症少。

Objective To investigate the effect of transurethral red laser vaporization resecting for non-muscle invasive bladder cancer. Methods 30 patients with non-muscle invasive bladder cancer were collected.Setting red laser resectoscope into the urethra,turning Germany 980 nm red laser treatment EVOLVE TM-HPD？ （Hi-Power Diode）to power 120 w to resect the tumor vapor-izedly.Intravesical instillation of hydrochloric acid Pirarubicin was taken immediately after the sur-gery. Results All cases were successful surgery,no bladder perforation and obturator nerve reflex occurs.Follow-up during 6 to 20 months,7 patients recurrence,transurethral red laser vaporization resecting were taken again. Conclusions Transurethral red laser vaporization resecting for non-muscle invasive bladder cancer is a safe,minimally invasive treatment with minimal blood loss and few complications.