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目的:探讨经尿道Nd:YAG激光治疗膀胱表浅非浸润型肿瘤的手术方法、适应证及优越性。方法:总结分析了80例膀胱表浅非浸润型肿瘤患者的临床资料及应用Nd:YAG激光经尿道切除的手术方法。结果:80例膀胱肿瘤患者术中无出血,无闭孔神经反射及肿瘤种植,创伤小,恢复快,尤其适合有伴随疾病的老年患者。术后随访3个月~3年,非原位复发10例。结论:经尿道Nd:YAG激光治疗表浅非浸润型膀胱肿瘤是一种简便、安全、有效的手术方法。
Objective: To investigate the surgical methods, indications and advantages of transurethral Nd: YAG laser in the treatment of superficial bladder non-invasive tumors. Methods: The clinical data of 80 cases of bladder superficial non-invasive tumor and the operative methods of transurethral resection by Nd: YAG laser were summarized. Results: 80 cases of bladder cancer patients without bleeding during surgery, no obturator nerve reflex and tumor implantation, trauma and rapid recovery, especially for elderly patients with associated diseases. The patients were followed up for 3 months to 3 years, and 10 cases were non-situ recurrence. Conclusion: Transurethral Nd: YAG laser treatment of superficial non-invasive bladder tumor is a simple, safe and effective surgical method.