首页|铥激光治疗非肌层浸润性膀胱癌的临床研究

铥激光治疗非肌层浸润性膀胱癌的临床研究

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目的 探讨经尿道膀胱肿瘤铥激光整块切除术与TURBT在治疗NMIBC的差异.方法 收集2020年6月1日-2022年7月31日在本院行经尿道膀胱肿瘤铥激光切除术与TURBT的89例NMIBC患者的临床资料,将患者随机分成2组,铥激光组46例(行铥激光术),电切组43例(行电切术),比较分析2组患者的住院时间、术后尿管留置时间、手术出血量、手术耗时,膀胱刺激症、闭孔神经反射等并发症发生率,术后1年复发率.结果 铥激光组并发症发生率6.52%低于电切组27.91%,差异有统计学意义(P<0.05).铥激光组与电切组间,手术耗时无统计学意义(P>0.05).铥激光组患者术中出血量、尿管留置时间、住院时间,均优于电切组,差异具有统计学意义(P<0.05).铥激光组与电切组间术后1年复发率差异无统计学意义(P>0.05).结论 经尿道铥激光膀胱肿瘤完整切除术用于对NMIBC患者的治疗优于经尿道膀胱肿瘤电切术.
Clinical study of thulium laser in the treatment of non-muscular invasive bladder cancer
Objective To investigate the difference between transurethral thulium laser resection for bladder tumor and TURBT in the treatment of NMIBC.Methods The clinical data of 89 patients with NMIBC who underwent transurethral thulium laser resection and TURBT for bladder tumor in our hospital from 2020 to 2022 were collected,patients were randomly divided into two groups,46 cases were in thulium laser surgery group(performing thulium laser surgery)and 43 cases were in electrotomy group(performing electrotomy).The two groups were compared in the length of hospital stay,postoperative catheter retention time,operative blood loss,intraoperative time,incidence of complications such as bladder irritation,obturator nerve reflex and so on,and recurrence rate one year after surgery.Results The complication rate of thulium laser surgery group was 6.52%lower than that of electrotomy group(27.91%),with statistical significant(P<0.05).There was no significant difference in intraoperative time between group thulium laser surgery and group electrotomy.The intraoperative blood loss,urinary catheter retention time and hospital stay in group thulium laser surgery were better than those in group electrotomy,and the differences were statistically significant.There was no significant difference in recurrence rate between group thulium laser surgery and group electrotomy.Conclusions Transurethral thulium laser complete resection of bladder tumor is superior to transurethral electrotomy of bladder tumor in the treatment of NMIBC.

thulium laserpartial resection of bladder tumorbladder cancer

韩庆杰、田超、黎建欣、王航涛、钟苏权、周琳雄

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汕头大学附属粤北人民医院泌尿外科,广东 韶关 512000

铥激光 膀胱肿瘤切除术 膀胱癌

韶关市卫生健康局项目

Y22019

2024

云南医药
中华医学会云南分会

云南医药

影响因子:0.459
ISSN:1006-4141
年,卷(期):2024.45(2)
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