目的探讨经尿道绿激光汽化术治疗非肌层浸润性膀胱肿瘤的手术方法,安全性和疗效。方法 2009年10月至2010年4月,28例非肌层浸润性膀胱肿瘤患者接受经尿道绿激光汽化术,回顾手术时间、治疗效果。结果手术时间平均20min,术中无闭孔反射,无膀胱穿孔,无TUR综合征,几乎无出血,无输血病例。术后留置尿管2～7d,术后复发率10.7%,术后均行正规膀胱灌注化疗和膀胱镜定期检查,所有患者均存活,无死亡病例。结论经尿道绿激光汽化术治疗非肌层浸润性膀胱肿瘤,疗效确切,安全可靠,可以作为治疗非肌层浸润性膀胱肿瘤的理想治疗方法。 Objective To investigate the surgical methods, safety and efficacy of transurethral green laser vaporization for non-muscle invasive bladder tumor. Methods From October 2009 to April 2010, 28 patients with non-muscle invasive bladder cancer underwent transurethral vaporization of the green laser to review the operation time and the therapeutic effect. Results The average operation time was 20 minutes. There was no obturator reflex during operation, no bladder perforation, no TUR syndrome, almost no bleeding and no transfusion cases. Postoperative catheter 2 ~ 7d, postoperative recurrence rate was 10.7%, regular postoperative bladder chemotherapy and cystoscopy regular examination, all patients were alive, no deaths. Conclusion Transurethral vaporization of green laser to treat non-muscle invasive bladder tumor has definite effect and is safe and reliable. It can be used as an ideal treatment for non-muscle invasive bladder tumor.