CAJ | 학술논문

目的探讨经尿道选择性绿激光汽化术治疗表浅性膀胱肿瘤的手术方法、疗效和安全性.方法回顾性分析经尿道选择性绿激光汽化术治疗表浅性膀胱肿瘤32例患者的临床资料,统计分析手术时间、术中及术后出血情况、并发症发生情况和复发率等.结果 32例患者均顺利完成手术,平均手术时间为20 min,术中未见明显出血,无闭孔神经反射、尿道电切综合征、术后继发出血、膀胱穿孔、尿道狭窄等并发症.术后留置尿管2～4 d,无需膀胱冲洗.随访时间平均为16个月,术后定期膀胱灌注化疗和膀胱镜检查,复发2例,复发率为6%.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,疗效确切,无严重并发症,是一种安全有效的表浅性膀胱肿瘤微创治疗方法.
목적 탐토경뇨도선택성록격광기화술치료표천성방광종류적수술방법、료효화안전성.방법 회고성분석경뇨도선택성록격광기화술치료표천성방광종류32례환자적림상자료,통계분석수술시간、술중급술후출혈정황、병발증발생정황화복발솔등.결과 32례환자균순리완성수술,평균수술시간위20 min,술중미견명현출혈,무폐공신경반사、뇨도전절종합정、술후계발출혈、방광천공、뇨도협착등병발증.술후류치뇨관2～4 d,무수방광충세.수방시간평균위16개월,술후정기방광관주화료화방광경검사,복발2례,복발솔위6%.결론 경뇨도선택성록격광기화술치료표천성방광종류조작간단,료효학절,무엄중병발증,시일충안전유효적표천성방광종류미창치료방법.
Objective To explore the management,curative effect and safe of superficial bladder tumor(BT)by greenlight photoselective vapontion per urethra(GPVPU). Methods 32 patients of BT were treated by GPVPU,and operation time,postoperative complications,relapse rate and so on were observed. Results All cases were completed successfully. No complication happened in operations. Urinary canal was detained 2 ～4 days and bladder washout(BW) did not need after operation. Follow-up average time was 16 months. Irrigation chems of bladder and cystoscopy were applied routinely. Conclusion GPVPU was safe and effective in treatment of superficial bladder tumor.