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目的探讨经尿道钬激光切除治疗浅表性膀胱肿瘤病人的疗效与安全性。方法对22例浅表性膀胱肿瘤行经尿道钬激光切除治疗,并对手术时间、导尿管留置时间、术后膀胱冲洗情况、肿瘤分期、有无穿孔及术中闭孔神经反射情况进行总结。结果手术时间为15～40min,平均20min;术后无需膀胱冲洗;钬激光导尿管留置时间:2～4天,平均3天。所有患者均获得膀胱分期,随诊半年,无尿道狭窄、肿瘤复发。结论钬激光切除是一种治疗膀胱肿瘤高效安全的方法;在准确判断肿瘤分期、减少膀胱穿孔及减少出血方面具有一定的优越性。
Objective To investigate the efficacy and safety of transurethral holmium laser in the treatment of superficial bladder tumor. Methods Twenty - two cases of superficial bladder tumors underwent transurethral holmium laser excision. The operative time, catheter indwelling time, postoperative bladder irrigation, tumor staging, perforation and obturator nerve reflex were summarized. Results The operation time ranged from 15 to 40 minutes with an average of 20 minutes. No postoperative bladder irrigation was required. Holmium laser catheter indwelling time ranged from 2 to 4 days with an average of 3 days. All patients were bladder staging, followed up for six months, no urethral stricture, tumor recurrence. Conclusions Holmium laser resection is an effective and safe method for the treatment of bladder cancer. It has some advantages in accurately judging tumor staging, reducing bladder perforation and reducing bleeding.