|
|
Comparison of transurethral holmium laser resection and transurethral resection of superficial bladder tumor |
HE Li-hua |
Department of Urology Surgery,Wuhua County People′s Hospital,Guangdong Province,Wuhua 514400,China |
|
|
Abstract ObjectiveTo investigate the therapeutic effect of transurethral holmium laser resection and transurethral resection of superficial bladder tumor,which could provide evidence for clinical treatment of superficial bladder tumor.Methods76 patients with superficial bladder cancer from June 2014 to December 2015 in our hospital were analyzed, according to the method of random number of clinical trials,they were divided into two groups,38 cases in each group. The control group was treated with transurethral resection treatment,observation group was treated with transurethral holmium laser resection,intraoperative and postoperative general situation of patients in the two groups were compared.ResultsThe operation time of the observation group[(23.6±6.3)min],the amount of bleeding[(25.1±5.9)ml],and the incidence rate of urethral stricture(2.63%)was significantly better than the control group[(31.2±5.8)min,(48.3±7.5)ml,7.89%] (P<0.05).The bladder irrigation time of the observation group[(1.0±0.3)d],the catheter indwelling time after operation[(4.1± 2.1)d].and the incidence of urethral stricture(0%)were significantly better than the control group[(2.2±0.8)d,(5.3±2.5)d, 5.26%](P<0.05).ConclusionTransurethral green laser vaporization resection of superficial bladder tumor with shorter operative time,less bleeding,less incidence of intraoperative and postoperative complications.It is safe,reliable and effective,and it is worthy of clinical research.
|
|
|
|
|
[1] |
王锋.经尿道钬激光膀胱肿瘤切除(HOLRBT)治疗浅表性膀胱肿瘤的疗效[J].北方药学,2013,10(5):134.
|
[2] |
滕立新.钬激光切除术治疗浅表性膀胱肿瘤的疗效观察[J].第三军医大学学报,2012,34(5):448-450.
|
[3] |
Teng JF,Wang K,Yin L,etal.Holmium laser versus conventional transurethral resection of the bladder tumor[J]. Chin Med J(En-gl),2013,126(9):1761-1765.
|
[4] |
Wang SY,Zhou CW,Chen P,et al.Lapa roscopic radical cystectomy with orthotopic ileal neobladder in the treatment of invasive bladder cancer[J].Zhonghua Zhong Liu Za Zhi,2012,34(10):793-796.
|
[5] |
陈伟.经尿道钬激光膀胱肿瘤切除术与经尿道膀胱肿瘤电切术治疗表浅层膀胱癌的疗效和安全性:对比研究[J].中国全科医学,2014,17(2):223-225.
|
[6] |
孙鹏.《膀胱癌诊断治疗指南》解读——非肌层浸润性膀胱癌的治疗[J].泌尿外科杂志(电子版),2009,1(1):51-53.
|
[7] |
刘志峰,阮政,宋明山,等.经尿道绿激光汽化切除与等离子 电切治疗浅表性膀胱肿瘤的疗效比较[J].泌尿外科杂志(电子版),2015,7(3):40-42.
|
[8] |
江克华,宋兴福,董自强.表浅性膀胱肿瘤的外科治疗进展[J].山东医药,2010,50(46):114-115.
|
[10] |
王国举,董锐,王宁华,等.经尿道激光膀胱肿瘤剜除术与电切术治疗浅表性膀胱肿瘤的疗效比较[J].西南军医,2016,18(1):41-42.
|
[11] |
戴旭辉,朱达明.经尿道钬激光膀胱肿瘤切除与经尿道电切治疗膀胱非肌层侵润型膀胱癌的安全性及有效性比较(附71例分析)[J].吉林医学,2013,34(4):611-612.
|
[12] |
杨照宇.经尿道钬激光膀胱肿瘤切除术治疗表浅层膀胱癌患者的疗效[J].医疗装备,2017,30(4):19-20.
|
[13] |
林国太,李昌桂,张益明,等.浅表性膀胱癌经尿道电切术后复发的原因及预防策略[J].第三军医大学学报,2012,34(18):1884-1887.
|
[9] |
Babjuk M,Oosterlinck W,Sylvester R,et al.EAU Guidelines on non-muscle invasive urothelial carcinoma of the bladder,the 2011 update[J].Eur Urol,2011,59(6):997-1008.
|
[14] |
廖勇,黄建林,安宇,等.不同手术方式联合早期膀胱灌注化疗对浅表性膀胱癌患者生活质量的影响[J].四川医学,2013,34(6):763-765.
|
[15] |
雷普,卜小斌,高飞,等.经尿道钬激光膀胱肿瘤切除术和膀胱肿瘤电切术治疗表浅层膀胱癌的疗效比较[J].现代泌尿外科杂志,2014,19(2):108-110.
|
[16] |
Richterstetter M,Wullich B,Amann K,et al.The value of extended transurethral resection of bladder tumour(TURBT)in thetreatment of bladder cancer[J].BJU Int,2012,110(2 Pt 2):E76-E79.
|
[17] |
王一平,郑铎,王志强.经尿道钬激光切除与经尿道等离子体电切治疗浅表性膀胱肿瘤的临床疗效比较[J].中国社区医师,2014,30(19):83-84.
|
[18] |
袁光亚,辛宇鹏,马蜀爽,等.经尿道膀胱肿瘤电切术治疗高龄膀胱肿瘤37例效果观察[J].实用医院临床杂志,2011,8(6):148-149.
|
|
|
|