激光在膀胱腫瘤治療中應(yīng)用的現(xiàn)狀與挑戰(zhàn)

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The current status and challenges of laser in the treatment of bladder tumors

WANG Jianwen，WANG Hao （Department of Urology，Beijing Chaoyang Hospital Afiliated to Capital Medical University，Beijing l0o02o，China）

ABSTRACT：Bladder urothelialcarcinoma isone of thecommon malignant tumors of the urinarysystem.The traditional treatment is transurethralresectionofbladder tumor（TURBT），which is mainlyusedfor non-muscle invasive bladdercancer. However，this surgical procedurehasproblems such as fragmentedspecimens，inaccurate staging，andhighincidenceof complications.With the development of surgicaltechniques and equipment，en blocresection of bladder tumor（ERBT）is graduallyreplacing traditionalTURBTthanks toadvantagesof minimal trauma，fewercomplications，nd soon.ERBTbasedon variou typesof lasers providesclinicians with multiplechoices，suchas neodymium laser，holmium laser，thulium lasr，blue laser，anddiodelaser.However，lasers havediferentadvantagesaswellaslimitations.Thispaperexplores thecurrent applicationof various lasers in ERBT，andanalyzesthechalengesandplans in handling largevolume bladdertumorsand collecting specimens，so as to provide reference for clinical urologists.

KEYWORDS：non-muscleinvasivebladdercancer;transurethralrsectionof bladdertumor;enblocresectionofbladertumorslase

摘要：膀胱尿路上皮癌是泌尿系統(tǒng)常見(jiàn)的惡性腫瘤之一，傳統(tǒng)的治療方法經(jīng)尿道膀胱腫瘤電切術(shù)（TURBT）主要用于非肌層浸潤(rùn)性膀胱癌，但該術(shù)式存在標(biāo)本碎片化、分期不準(zhǔn)確、并發(fā)癥發(fā)生率高等問(wèn)題。（剩余13814字）