Smith J A
Department of Surgery, University of Utah Center for the Health Sciences, Salt Lake City 84132.
J Urol. 1990 Feb;143(2):282-4. doi: 10.1016/s0022-5347(17)39934-2.
Bladder hemangiomas may occur singly or in association with systemic arteriovenous malformations. A total of 13 patients with bladder hemangiomas underwent treatment at this university. All patients had recurrent bleeding and neodymium:YAG laser energy was delivered endoscopically to the hemangioma. No treatment-related bleeding occurred in any patient, and all had a significant decrease in the frequency and intensity of bleeding episodes. Followup cystoscopic examinations have shown either complete eradication of the hemangioma or a marked decrease in size. Neodymium:YAG laser irradiation provides results superior to alternative therapy and is the preferred treatment for most patients with bladder hemangioma.
膀胱血管瘤可单发，也可与全身性动静脉畸形并发。共有13例膀胱血管瘤患者在该大学接受了治疗。所有患者均有反复出血情况，通过内镜将钕:钇铝石榴石激光能量作用于血管瘤。所有患者均未发生与治疗相关的出血，且出血发作的频率和强度均显著降低。随访膀胱镜检查显示，血管瘤要么完全消除，要么尺寸明显减小。钕:钇铝石榴石激光照射的效果优于其他替代疗法，是大多数膀胱血管瘤患者的首选治疗方法。
