摘要
目的比较经尿道钬激光和经尿道电汽化治疗浅表性膀胱癌的效果,为临床最佳治疗方案提供依据。方法将70例浅表性膀胱癌患者随机分为两组,分别采用经尿道钬激光(实验组,n=35)和经尿道电汽化(对照组,n=35)治疗。比较两组治疗效果。结果两组患者手术时间、复发率、治愈率比较,差异无统计学意义(P>0.05)。实验组术中出血和并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论经尿道钬激光治疗浅表性膀胱癌具有安全、有效、并发症少等特点,值得临床推广。
Objective To compare the efficacy of transurethral holmium laser resection for primary nonmuscle-invasive bladder cancer （HoLRBT） versus standard transurethral electroresection （TURBT）. Methods Seventy patients with primary nonmuscle-invasive bladder cancer were randomly divided into two groups. The experimental group were treated with HoL- RBT （n = 35） while the patients in control group were treated with TURBT using electricity vaporization. The intraoperative and postoperative characteristics of the HoLRBT and TURBT groups were compared. Recurrence and cure rates were also compared. Results There was no significant difference in operative time, recurrence rate, and cure rate between the two groups （P 〉 0.05）. There were significant less intraoperative bleeding amount and incidence rate of complications in HoL RBT group with significant difference, compared to TURBT group （P 〈 0.05）. Conclusion HoLRBT is a safe and effective approach for the management of primary nonmuscle-invasive bladder cancer, warranting an extensive use clinically.
出处
《中国现代医生》
2012年第25期153-154,共2页
China Modern Doctor
关键词
表浅性膀胱癌
钬激光
并发症
Primary nonmuscle-invasive bladder cancer
Holmium laser： Complication
