中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
25期
3-4,5
,共3页
膀胱癌%非肌层浸润性%绿激光
膀胱癌%非肌層浸潤性%綠激光
방광암%비기층침윤성%록격광
Bladder cancer%Non-muscle invasive%Green laser
目的：评价经尿道绿激光汽化术(PVBT)治疗多发性非肌层浸润性膀胱癌的疗效。方法：回顾性分析笔者所在医院2009年5月-2013年5月收治的27例多发性非肌层浸润性膀胱癌患者的临床资料。所有患者行经尿道绿激光汽化术，术后定期行膀胱镜检查。结果：手术均成功，手术时间25~85 min，平均45 min。术中出血少，未发生闭孔神经反射、膀胱穿孔。术后随访时间11~30个月，平均13个月。发生5例膀胱肿瘤复发，复发率为18.5％。结论：PVBT治疗多发性非肌层浸润性膀胱癌疗效确切，具有安全、出血少、术后复发率低的优点。
目的：評價經尿道綠激光汽化術(PVBT)治療多髮性非肌層浸潤性膀胱癌的療效。方法：迴顧性分析筆者所在醫院2009年5月-2013年5月收治的27例多髮性非肌層浸潤性膀胱癌患者的臨床資料。所有患者行經尿道綠激光汽化術，術後定期行膀胱鏡檢查。結果：手術均成功，手術時間25~85 min，平均45 min。術中齣血少，未髮生閉孔神經反射、膀胱穿孔。術後隨訪時間11~30箇月，平均13箇月。髮生5例膀胱腫瘤複髮，複髮率為18.5％。結論：PVBT治療多髮性非肌層浸潤性膀胱癌療效確切，具有安全、齣血少、術後複髮率低的優點。
목적：평개경뇨도록격광기화술(PVBT)치료다발성비기층침윤성방광암적료효。방법：회고성분석필자소재의원2009년5월-2013년5월수치적27례다발성비기층침윤성방광암환자적림상자료。소유환자행경뇨도록격광기화술，술후정기행방광경검사。결과：수술균성공，수술시간25~85 min，평균45 min。술중출혈소，미발생폐공신경반사、방광천공。술후수방시간11~30개월，평균13개월。발생5례방광종류복발，복발솔위18.5％。결론：PVBT치료다발성비기층침윤성방광암료효학절，구유안전、출혈소、술후복발솔저적우점。
Objective:To discuss the efficacy of green laser photoselective vaporization(PVBT) for multiple non-muscle invasive bladder cancer.Method:The clinical data of 27 patients with multiple non-muscle invasive bladder cancer in our hospital from May 2009 to May 2013 were retrospectively analyzed.All patients were treated with green laser photoselective vaporization.After operation,regular inspection with cystoscope were used.Result:All the operations were successful,the operation time was among 25-85 min,average 45 min.With few intraoperative bleeding,no case occured obturator nerve reflex or bladder perforation.All patients were followed up for 11 to 30 months,average 13 months.The recurrence rate of bladder neoplasms was 18.5%(5 cases).Conclusion:The treatment of green laser photoselective vaporization for multiple non-muscle invasive bladder has definite effect and advantages of safety,less bleeding and less recurrence.
