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氩激光治疗泌尿系统疾病的经验(作者译)

[Experience with argon laser in urological diseases (author's transl)].

作者信息

Rothauge C F, Nöske H D, Kraushaar J

出版信息

Urologe A. 1981 Sep;20 Suppl:333-9.

PMID:7197839
Abstract

The application of the Argon laser in urology has proved to be effective in resecting recurrent, exophytic urothelial tumors of the bladder up to the size of a raspberry. In cases of wide spread bladder tumors we only perform a radiation of the resected area as local recurrence prophylaxis following transurethral resection. The urethroscopic Argon laser irradiation makes laser urethrotomy and evaporisation of urethral strictures possible. Furthermore, a curative and conservative treatment of urethral tumors is possible in combination with chemotherapy. The same applies for the penis carcinoma. Urethral ruptures are also successfully treated by urethroscopic laser recanalization. A determination of the ureteral submucosal course, which may allow a prognosis about the probable maturation, is possible in cases of cystoureteral reflux with the help of laser diaphanoscopy.

摘要

氩激光在泌尿外科的应用已被证明在切除复发性、外生性膀胱尿路上皮肿瘤方面是有效的,肿瘤大小可达树莓般大小。对于广泛扩散的膀胱肿瘤病例,我们仅在经尿道切除术后对切除区域进行放疗,作为局部复发的预防措施。尿道镜下氩激光照射使激光尿道切开术和尿道狭窄汽化成为可能。此外,结合化疗对尿道肿瘤进行根治性和保守性治疗也是可行的。阴茎癌也是如此。尿道镜激光再通术也成功地治疗了尿道破裂。在膀胱输尿管反流的情况下,借助激光透照镜可以确定输尿管黏膜下层的走行,这可能有助于对可能的成熟情况进行预后判断。

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