| 经尿道1.9μm激光切除术与经尿道电切术治疗浅表性膀胱癌的疗效及安全性比较 |
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| 引用本文： | 周敬敏,毛全宗,荣石,石冰冰,谢燚,徐维锋,纪志刚.经尿道1.9μm激光切除术与经尿道电切术治疗浅表性膀胱癌的疗效及安全性比较[J].国际外科学杂志,2016(9):594-597. |
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| 作者姓名： | 周敬敏 毛全宗 荣石 石冰冰 谢燚 徐维锋 纪志刚 |
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| 作者单位： | 中国医学科学院北京协和医学院北京协和医院泌尿外科,0北京,100073 |
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| 摘 要： | 目的 比较经尿道1.9 μm激光切除术与经尿道电切术治疗浅表性膀胱癌的疗效与安全性.方法 对北京协和医院泌尿外科2013年1月-2015年12月收治的53例浅表性膀胱癌患者,分别采用经尿道1.9 μm激光切除术(n=25)和经尿道电切术(n=28)治疗.比较两组手术时间、术中出血量、术后留置尿管时间、术后住院时间以及并发症发病率和肿瘤复发情况.结果 1.9 μm激光切除术组患者术中出血量为(21.6±4.6) min]、术后留置尿管时间为(22.4±6.4)h]、术后住院时间为(2.2 ±0.7)d]、术后并发症发病率(12％)及术后复发率(16％)均低于经尿道电切术组,差异有统计学意义(P＜0.05).结论 经尿道1.9 μm激光切除术治疗浅表性膀胱癌具有安全、有效、并发症少、复发率低等特点,值得临床推广.
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| 关 键 词： | 膀胱肿瘤 1.9 μm激光 经尿道膀胱肿瘤电切术 疗效比较研究 |
Comparative study of transurethral 1.9 pm thulium laser resection and standard transurethral electroresection for treating superficial bladder cancer |
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| Abstract: | Objective To compare the efficacy and safety of 1.9 μm thulium laser with transurethral resection of bladder tumor(TURBT) for the treatment of superficial bladder cancer.Methods We reviewed 53 patients with superficial bladder cancer,who were divided into 1.9 μm laser (n =25) and TURBT groups (n =28) from January 2013 to December 2015.The operation time,blood loss volume in operation,catheter indwelling time,hospital stay time,and complications,cumulative recurrence rate were compared between the two groups.Results Compared to TURBT group,1.9 μm laser group showed significantly lower rate of blood loss volume in operation (21.6 ± 4.6) min,catheter indwelling time (22.4 ± 6.4) h,hospital stay time (2.2 ± 0.7) d,less complications (12％)and recurrence(16％) (P ＜ 0.05).Conclusions 1.9 μm thulium laser is safe and effective for the treatment of patients with superficial bladder cancer.The approach has less complications than TURBT. |
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| Keywords: | Urinary bladder neoplasms 1 9 μm lasers Electrocautery transurethral resection for bladder tumor Comparative effectiveness research |
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