CAJ | 학술논문

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。
목적：탐토근치성경뇨도록격광기화술치료침윤성방광암적료효。방법2010년2월지2013년2월대10례침윤성방광암환자，시행료근치성경뇨도방광종류록격광기화술，수술삼조근치성경뇨도방광종류전절술원칙，종류부위절제지방광외지방층。술후급여표유비성방광관주치료，수방3～24개월。결과2년내복발2례，복발솔20％（2/10），대복발자재차행경뇨도방광종류록격광기화술。결론대년로체약불능내수혹불원의접수방광전절적침윤성방광암환자가시행근치성경뇨도록격광기화술，이체도연장생명，제고생활질량적목적。
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 .