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经尿道钬激光与电切治疗表浅性膀胱肿瘤的临床疗效比较
引用本文:罗勇,曹志刚,刘军,苏江浩,朱佳庚,徐郑. 经尿道钬激光与电切治疗表浅性膀胱肿瘤的临床疗效比较[J]. 肿瘤, 2008, 28(11). DOI: 10.3781/j.issn.1000-7431.2008.11.022
作者姓名:罗勇  曹志刚  刘军  苏江浩  朱佳庚  徐郑
作者单位:南京医科大学附属南京第一医院泌尿外科,南京,210006
摘    要:目的:总结比较经尿道行钬激光治疗(holmium laser resection)与电切治疗(transurethral resection)表浅性膀胱肿瘤的临床疗效.方法:共收治64例膀胱肿瘤患者,其中26例行经尿道钬激光切除手术,38例行经尿道电切手术;分析2组患者手术时间、膀胱穿孔例数、术后膀胱冲洗例数、导尿管留置时间、尿道狭窄发生率、肿瘤复发等指标,并比较其临床疗效.结果:随访6.28个月,2组患者平均手术时间、导尿管留置时间、术后尿道狭窄发生率、肿瘤复发率均经比对差异均无统计学意义(P>0.05),但钬激光治疗组的膀胱穿孔及术后膀胱冲洗例数明显少于电切治疗组(P<0.05).结论:钬激光治疗表浅性膀胱肿瘤疗效确切,并发症少,在减少膀胱穿孔等方面比电切治疗更有优势.

关 键 词:膀胱肿瘤  激光手术  钬激光  对比研究

A comparison of clinical outcome between holmium laser resection and transurethral resection for superficial bladder carcinoma
LUO Yong,CAO Zhi-gang,LIU Jun,SU Jiang-hao,ZHU Jia-geng,XU Zheng. A comparison of clinical outcome between holmium laser resection and transurethral resection for superficial bladder carcinoma[J]. Tumor, 2008, 28(11). DOI: 10.3781/j.issn.1000-7431.2008.11.022
Authors:LUO Yong  CAO Zhi-gang  LIU Jun  SU Jiang-hao  ZHU Jia-geng  XU Zheng
Affiliation:LUO Yong,CAO Zhi-gang,LIU Jun,SU Jiang-hao,ZHU Jia-geng,XU Zheng(Department of Urological Surgery,Nanjing First Hospital Affiliated to Nanjing Medical University,Nanjing 210006,China)
Abstract:Objective:To summarize and compare the clinical therapeutic effect of holmium laser resection(HoLR) and transurethral resection(TUR) on superficial bladder tumors.Methods: Twenty-six bladder cancer patients received HoLR therapy and 38 cases received TUR therapy.The mean operative time,the case number with bladder perforation,the number of patients receiving postoperative bladder perfusion,indwelling time of urethral catheter,incidence of urethral meatal stenosis,and postoperative recurrence were analyzed a...
Keywords:Bladder neoplasms  Laser surgery  Holmium lasers  Comparative study  
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