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目的:探讨经尿道膀胱镜下钬激光治疗膀胱结石合并膀胱肿瘤的临床疗效。方法:12例膀胱结石合并膀胱肿瘤患者在连续硬膜外麻醉下应用钬激光通过膀胱镜行碎石及肿瘤切除治疗,术后予以定期膀胱灌注化疗,并通过复查膀胱镜观察其疗效。结果:12例结石及肿瘤皆一次性全部清除。术后膀胱结石无一例复发,1例于术后10个月后膀胱肿瘤复发,再次入院予钬激光手术治疗。结论:经尿道钬激光治疗膀胱结石合并膀胱肿瘤疗效肯定,并发症少,创伤小,操作简单,术后肿瘤复发率低,是一种安全有效的手术方法,值得临床应用及推广。
Objective: To investigate the clinical effect of transurethral cystoscopic holmium laser in the treatment of bladder calculi and bladder tumor. Methods: Twelve patients with bladder calculi and bladder tumor undergoing continuous epidural anesthesia were treated with holmium laser through cystoscope. The patients were treated with intravesical instillation and chemotherapy after cystoscopy. The curative effect was observed by retrospective cystoscopy. Results: All 12 cases of stone and tumor were cleared at one time. No recurrence of bladder stones after surgery, 1 case of bladder tumor recurrence after 10 months, once again hospitalized for holmium laser surgery. Conclusions: Transurethral holmium laser is a safe and effective surgical method for the treatment of bladder cancer complicated with bladder cancer with less complications, less trauma, simple operation and lower tumor recurrence rate. It is worthy of clinical application and promotion.