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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
引用本文:霍立志,程镇,郑忠敬,井汉国,王腾春,闫会秋. 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[J]. 临床外科杂志, 2008, 16(11): 747-748
作者姓名:霍立志  程镇  郑忠敬  井汉国  王腾春  闫会秋
作者单位:山东省聊城市第二人民医院泌尿外科,252600;山东省聊城市第二人民医院泌尿外科,252600;山东省聊城市第二人民医院泌尿外科,252600;山东省聊城市第二人民医院泌尿外科,252600;山东省聊城市第二人民医院泌尿外科,252600;山东省聊城市第二人民医院泌尿外科,252600
摘    要: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。

关 键 词:膀胱肿瘤  激光手术  治疗

Curative effectiveness of greenlight photoselective laser vaporization vs electrocautery transurethral resection for superficial bladder tumors
HUO Li-zhi,CHENG Zhen,ZHENG Zhong-jing,et al.. Curative effectiveness of greenlight photoselective laser vaporization vs electrocautery transurethral resection for superficial bladder tumors[J]. Journal of Clinical Surgery, 2008, 16(11): 747-748
Authors:HUO Li-zhi  CHENG Zhen  ZHENG Zhong-jing  et al.
Affiliation:HUO Li-zhi,CHENG Zhen,ZHENG Zhong-jing,et al.(The Second Hospital of Liaocheng,Liaocheng 252600,China)
Abstract: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...
Keywords:bladder tumor  laser surgery  therapy  
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