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[经尿道激光治疗膀胱肿瘤]

[Transurethral laser treatment in bladder neoplasms].

作者信息

Rothauge C F

出版信息

Helv Chir Acta. 1978 Jul;45(3):233-6.

PMID:568124
Abstract

Within one year 38 patients with bladder tumors--most malignant--were treated by argon-laserbeam (6 Watt and 15 Watt). We now survey altogether 45 endoscopic operations. To bring the laserbeam into the waterfilled bladder, we use a special light-conductor and a normal operation-cystoscope. Laser therapy takes place after conventional electro-resection (TUR) by coagulation of the tumor ground or independently by destroying small relapses of tumors. We have observed some advantages of argon-laser treatment compared to electro-surgery: 1. No convulsions of bladder muscle with the danger of perforation, sometimes produced by current impulses. 2. Painlessness. Laser treatment is possible without anesthesia. 3. More therapeutic range. 4. Cases of absence of recidivation. We hope that the new therapy will be able to reduce the recidivation of bladder tumors and to improve the poor results of operative treatment.

摘要

在一年时间里,我们用氩激光束(6瓦特和15瓦特)治疗了38例膀胱肿瘤患者——大多数为恶性肿瘤。目前我们总共进行了45例内镜手术。为了将激光束导入充满水的膀胱,我们使用一种特殊的光导纤维和一台普通的手术膀胱镜。激光治疗在传统电切术(TUR)之后进行,通过凝固肿瘤基底,或者独立进行以破坏肿瘤的小复发灶。与电外科手术相比,我们观察到氩激光治疗有一些优点:1. 不会引起膀胱肌肉抽搐以及由此产生的穿孔危险,而电流脉冲有时会导致这种情况。2. 无痛。无需麻醉即可进行激光治疗。3. 治疗范围更广。4. 无复发情况。我们希望这种新疗法能够减少膀胱肿瘤的复发,并改善手术治疗效果不佳的状况。

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