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目的探讨经尿道激光切除膀胱肿瘤的疗效及安全性。方法选择2013年1月—2015年1月锦州医科大学附属第三医院70例浅表性膀胱肿瘤患者,采用经尿道激光切除肿瘤,并对患者的资料进行回顾性分析。结果70例手术均一次成功,术中无闭孔神经反射,无膀胱穿孔及明显出血等严重并发症出现,术后保留尿管4~6 d。术后病理创面基底及边缘均无肿瘤残留。随访6~24个月,术后12个月复发3例,20个月复发4例,复发率为10%。结论经尿道激光治疗浅表性膀胱肿瘤70例病患均可靠、安全,术后复发率在可接受范围。
Objective To investigate the efficacy and safety of transurethral laser resection of bladder tumor. Methods From January 2013 to January 2015, 70 patients with superficial bladder tumor in the Third Affiliated Hospital of Jinzhou Medical University were treated with transurethral laser resection of the tumor, and the data of the patients were retrospectively analyzed. Results All the 70 surgeries were successfully performed. There were no obstructive nerve reflexes, no perforation of the bladder and significant hemorrhage during operation. The catheter was preserved for 4-6 days after operation. Postoperative pathological wounds at the base and the edge of no tumor residues. All cases were followed up for 6-24 months. Three cases were relapsed 12 months after surgery and 4 cases were relapsed after 20 months. The recurrence rate was 10%. Conclusion Transurethral laser treatment of superficial bladder tumor in 70 patients were reliable, safe, postoperative recurrence rate in the acceptable range.