经尿道绿激光汽化和经尿道电切治疗表浅性膀胱肿瘤疗效的对比观察

目的比较经尿道绿激光汽化与经尿道电切治疗表浅性膀胱肿瘤的疗效及安全性。方法随机选取35例（实验组）膀胱肿瘤患者行经尿道绿激光汽化术，另32例（对照组）行经尿道电切术，观察两组术中、术后并发症及复发情况。结果两组平均手术时间、保留导尿管时间、术后肿瘤复发率差异均无统计学意义（P〉0．05），实验组术中出血量及术后膀胱冲洗时间明显少于对照组（P〈0．05）。同时膀胱穿孔和闭孔神经反射仅在对照组中发生。结论选择性绿激光汽化术是治疗膀胱肿瘤安全有效的方法，具有创伤小、出血少、恢复快及并发症发生率低等特点，尤其适用于侧壁表浅性膀胱肿瘤。

Curative effectiveness of greenlight photoselective laser vaporization vs electrocautery transurethral resection for superficial bladder tumors

Objective To compare the clinical efficacy and safety of greenlight photoselective laser vaporization(PV)vs electrocautery transurethral resection for superficial bladder tumors(TURBT).Methods Thirty-five cases(experimental group)were randomly assigned to greenlight photoselective laser vaporization of bladder tumors,and 32 cases(control group)received standard electrocautery transurethral resection.The mid-postoperative complications and recurrence were overviewed.Results There was no significant differenc...