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目的:总结运用Nd:YAG激光经尿道膀胱镜下治疗膀胱癌108例的经验体会。方法:从1999年3月至2006年11月对108例膀胱癌患者在门诊中应用Nd:YAG激光机行经尿道膀胱镜下激光治疗肿瘤术(TUL-BT)。结果:108例均在门诊治疗。除5例因较长时期未随访治疗而致肿瘤扩散,转移外(其中1例因1年半未复查,肿瘤变大无法治疗而致大出血死亡),其余103例均治疗满意,术中,术后无明显出血,无尿路感染及穿孔等并发症,生活工作正常。结论:由于膀胱癌的高再生率,选择合适病例,定期随访治疗,运用激光门诊治疗膀胱肿瘤是安全可行的,大大改善了患者的生存率及生活质量,且可以减轻患者和医保的负担.
OBJECTIVE: To summarize the experiences of transurethral cystoscopy using Nd: YAG laser in the treatment of bladder cancer. Methods: From March 1999 to November 2006, 108 patients with bladder cancer underwent Nd: YAG laser in the outpatient department underwent transurethral cystoscopic laser treatment of tumor (TUL-BT). Results: 108 cases were outpatient treatment. In addition to 5 cases of non-follow-up treatment for a longer period of time caused by tumor proliferation and metastasis (one case of 1 year and a half because of re-examination, the tumor became large and can not be treated due to bleeding died), the remaining 103 patients were satisfied with surgery, surgery No obvious bleeding, no urinary tract infection and complications such as perforation, life and work properly. Conclusion: Because of the high rate of bladder cancer recurrence, it is safe and feasible to select the appropriate cases and follow-up treatment regularly. It is safe and feasible to use laser outpatient treatment of bladder cancer, which greatly improves the survival rate and quality of life of patients and can reduce the burden on patients and medical insurance.