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目的:总结应用选择性绿激光治疗浅表性膀胱肿瘤的安全性及疗效。方法:应用选择性绿激光汽化术对21例浅表性膀胱肿瘤患者行肿瘤汽化术,术后结合长期规律吡柔比星膀胱灌注化疗,密切随访。结果:本组21例患者均手术成功,手术平均时间20 min(5~30 min),术中、术后出血少,无闭孔神经反射、继发性出血等并发症。1例术后18个月内膀胱肿瘤复发。结论:经尿道选择性绿激光汽化术治疗表浅性膀胱肿瘤,操作简单,术中术后并发症出现少,恢复快,疗效确切。
Objective: To summarize the safety and efficacy of selective green laser treatment of superficial bladder tumor. Methods: Twenty-one patients with superficial bladder tumor undergoing neovascularization were treated with selective green laser vaporization. After long-term follow-up, pirarubicin was given intravesical instillation chemotherapy, followed up closely. Results: Twenty-one patients in this study were operated successfully. The mean operation time was 20 min (range 5-30 min). There were less intraoperative and postoperative bleeding, no obturator nerve reflex and secondary hemorrhage. One case of bladder tumor recurrence within 18 months after operation. Conclusion: Transurethral selective green laser vaporization for the treatment of superficial bladder tumors has the advantages of simple operation, less postoperative complications, quick recovery and definite curative effect.