文档介绍：内蒙古医学杂志InnerMongoliaMedJ2013年第45卷第8期 931 2微米激光在肾盂肿瘤根治术中的应用金光虎,夏海波,李海峰,张伟(赤峰学院附属医院泌尿外科,内蒙古赤峰 024000) [摘要]目的:探讨经尿道2微米激光在肾盂肿瘤根治术中的有效性及安全性。方法:15例肾盂肿瘤患者先在膀胱镜直视下使用2微米激光围绕病灶侧输尿管开t:~。然后取腰部斜切口切除病灶侧肾及输尿管,并自切口将肾及全长输尿管取出,术后定期行化疗药物膀胱灌注。结果: 手术时间100~180min,平均137min,术中无1例并发输尿管撕裂、大出血,术后无明显尿外渗及合并感染。随访3~15个月,复查膀胱镜、彩超等相关检查未见肿瘤复发及转移。结论:此方法创伤小、并发症少、效果良好、安全可行,是治疗肾盂癌值得推荐的手术方法之一。[关键词]2微米激光;肾盂肿瘤;微创【中图分类号][文献标识码】A【论文编号]1004—0951(2013)08—0931—02 ApplicationForTreatmentinRenalPelvisTumourUsing2mLaser JINGuang—hu,XIAHai—bo,LIHai—feng,ZHANGWei (DepartmentofUrology,AffiliatedHospitalofChifengInstitute,Chifeng024000China) [Abstract]0bjective:Toinvestigatetheefficiencyandsafetyoftheurethra2/.tm1aserintreatingtherenal :15casesofrenalpelvistumorpatientsincystoscopylookingstraightatfirstuse2m ~,Thentakethe waistremovedthroughthekidneyandpulloutlateureteral,Sincetheincisionofwholetakeouta nephroureterectomyspan,:Operation time100~180min,anaverageof137min,plicatedmassivehemorrhage,ureteralrupture, andnoobviousurineafterthepermeability,—up3~15months,reviewcystoscopy, :plications,the