| 刘泽赋,刘卓炜.激光技术在非肌层浸润性膀胱肿瘤中的治疗进展[J].肿瘤学杂志,2017,23(7):587-592. |
| 激光技术在非肌层浸润性膀胱肿瘤中的治疗进展 |
| Progress on Laser Technique in Field of Treatment of Non Muscle Invasive Bladder Cancer |
| 投稿时间：2017-03-06 |
| DOI：10.11735/j.issn.1671-170X.2017.07.B005 |
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| 中文关键词: 非肌层浸润性膀胱肿瘤 激光 经尿道膀胱肿瘤电切术 |
| 英文关键词:non invasive bladder tumor lasers transurethral resection of bladder tumor |
| 基金项目: |
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| 中文摘要: |
| 摘 要：激光技术已广泛运用于治疗良性前列腺增生，其安全性已被大量文献证实。该项技术应用于膀胱肿瘤时具有可以消除闭孔神经反射，减少术中出血，缩短留置尿管时间，减少住院天数的优势。目前开展的应用激光的整块切除技术更加符合无瘤原则，术后病理标本可以准确地分期分级，有望成为替代传统经尿道膀胱肿瘤电切术而成为新的手术标准，但目前亟待证实激光整块切除技术是否有显著的生存获益。未来的激光技术可能会在门诊直接局麻下运用在低级别和非浸润性的患者，在确保了与传统电切术相当的疗效的同时，降低了患者的经济负担。 |
| 英文摘要: |
| Abstract：Laser techniques in surgical procedure of benign prostate hyperplasia are prevalent in the daily routine and some prior literatures demonstrate the safety of these techniques. Laser techniques have the advantages in lower obturater nerve reflex，less blood loses during surgery，less period of hospitalization. Laser enbloc TURBT applying to the non muscle invasive bladder cancer is more adhering to the tumor free principles and subsequently could entirely provide the specimen to achieve the accurate diagnose of stage and grade. Laser enbloc TURBT is a promising type of surgery，which might to be regarded as a new standard for TURBT in the future. However，the survival benefit of the promising technique is needed to be confirmed. In the future，laser techniques would be used in outpatients with non invasive and low grade bladder urothelial carcinomas under local anesthesia，which has the similar survival benefits and lower economic burden comparing with traditional TURBT. |
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