经尿道钬激光剜除术治疗浅表性膀胱憩室癌八例的安全性及有效性探讨-现代医学

经尿道钬激光剜除术治疗浅表性膀胱憩室癌八例的安全性及有效性探讨

单位：1. 江苏省人民医院浦口分院泌尿外科, 江苏南京 211800;
2. 江苏省人民医院泌尿外科, 江苏南京 210029

分类号：R737.14;R454.2

出版年·卷·期（页码）：2019·38·第九期（1146-1149）

摘要：

目的：探讨经尿道钬激光剜除术在表浅性膀胱憩室癌治疗中的安全性及有效性。方法：回顾性分析2014年1月至2018年6月8例行钬激光剜除术治疗的表浅性膀胱憩室癌患者的临床资料，其中男6例，女2例，平均年龄（50.1±2.3）岁。术前均行膀胱镜成功活检，病理提示浅表性膀胱憩室癌。结果：所有患者均手术成功，无膀胱穿孔及闭孔神经反射出现，术后病理检查7例为低级别尿路上皮癌，1例为膀胱鳞癌，均未侵犯肌层。随访6~24个月，定期行泌尿系彩超及膀胱镜复查未见肿瘤复发。结论：经尿道钬激光剜除术治疗浅表性膀胱憩室癌安全、有效。

Objective:To investigate the efficacy and safety of transurethral holmium laser enucleation in the treatment of carcinoma of superficial bladder diverticulum. Methods:Clinical data of 8 patients with carcinoma of superficial bladder diverticulum who underwent holmium laser enucleation from January 2014 to June 2018 were retrospectively analyzed, including 6 males and 2 femals, with a median age of (50.1±2.3)years old. All patients were examined by cystoscopy and confirmed superficial bladder diverticulum carcinoma. Results:All operations were successful and no bladder perforation and obturator nerve reflex, postoperative pathology suggested that 7 cases were low-grade urothelial carcinoma and 1 case was bladder squamous cell carcinoma, and all did not invade the muscular layer. The patients were followed up for 6-24 months after operation, and no tumor recurrence occurred. Conclusion:Transurethral holmium laser enucleation is safe and effective in the treatment of superficial bladder diverticulum carcinoma.

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