膀胱镜下治疗膀胱复发性肿瘤疗效观察

目的：探讨膀胱镜下Nd:YAG激光手术治疗膀胱复发性肿瘤的安全性和有效性。方法：对我们1995年6月－2000年2月期间收治的46例膀胱复发性肿患者行膀胱镜下Nd:YAG激光手术治疗。结果：手术全部成功，肿瘤切除彻底，术中和术后无出血、膀胱穿孔等并发症；术后随访6个月－4年以上，异位复发2例，复发率为4．3％。结论：Nd:YAG激光治疗膀胱复发性肿瘤操作简便，安全系数高，效果确切，并具有痛苦少、费用低、无并发症等特点，对年老和体质差的患者尤为适宜，值得推广应用。

Cystoscopic resection of bladder recurrent tumor by Nd:YAG laser

Purpose:To evaluate the effectiveness and safety of cystoscopic Nd:YAG laser treatment of recurrent bladder tumors.Methods:46 cases of recurrent bladder tumors were treated using Nd:YAG laser cutting and vaporization from june 1995 to february 2000.Results:Nd:YAG laser was effectively used to treat recurrent bladder tumor in 46 patient. There were no intraoperation complications such as bleedding, perforation and delayed complications.Conclusions:It has been demonstrated that Nd:YAG laser therapy is provided with advantages of simple procedure, lower cost, high effect and safety, it can be performed in patients of elder age or in a poor condition with bladder tumor.