Objective To compare safety and efficacy of push and pick thulium laser enucleation of bladder tumor(Tm-LRBT)and plasma resection of bladder tumor(TURBT)in the treatment of non-muscle invasive bladder cancer(NMIBC).Methods Clinical data of 99 cases of NMIBC from January 2018 to June 2020 were retrospectively analyzed,including 50 cases of push and pick TmLRBT and 49 cases of TURBT.The operation time,surgical bleeding,intraoperative complications,bladder washing time,retention catheterization time,postoperative hospitalization time,postoperative urethral stricture and tumor recurrence were com-pared.Results Operation time of TmLRBT group was(38.56±8.51)min,and that of TURBT group was(36.79±9.05)min.There was no significant difference(P＞0.05).In TmLRBT group,intraoperative bleeding volume(7.59±3.34)ml,bladder wash-ing time(1.05±0.82)d,postoperative indwelling urinary catheter time(3.87±2.77)d,and postoperative hospitalization time(4.96±2.38)d were significantly lower than those in TURBT group(11.84±4.17)ml,(3.23±1.35)d,(5.69±3.01)d and(6.56±2.42)d)with significant differences(P＜0.05).There was no obturator nerve reflex and bladder perforation in TmLRBT group after operation,which was significantly lower than 14.29％and 10.20％in TURBT group(P＜0.05).There was no signifi-cant difference in urethral stricture(P＞0.05).In the 12-month tumor recurrence rate,2 cases(4.00％)occurred in TmLRBT group and 8 cases(16.33％)occurred in TURBT group with significant difference(P＜0.05).Conclusion Both TmLRBT and TURBT would be safe and reliable surgical methods for the treatment of NMIBC.The push and pick TmLRBT would have more ad-vantages in safety and efficacy,and is worth popularizing.
关键词
铥激光/整体剜除/非肌层浸润性膀胱癌
Key words
thulium laser/whole enucleation/non-muscle invasive bladder cancer
万方数据