钬激光切除术吡柔比星膀胱灌注治疗浅表性膀胱-第三军医大学学报.doc

钬激光切除术治疗浅表性膀胱肿瘤的疗效的临床研究观察 滕立新 （110034 沈阳，沈阳医学院奉天医院泌尿外科） [摘要] 目的 探讨经尿道钬激光切除术治疗浅表性膀胱肿瘤的疗效。方法 随机选取43例膀胱肿瘤患者作为观察组行经尿道钬激光切除术，另选取40例作为对照组行经尿道电切术，总结两组患者临床资料，对手术时间、失血量、导尿管留置时间、肿瘤复发情况、肿瘤分期、膀胱穿孔例数等指标进行比较。结果 观察组获得准确肿瘤分期、分级，与对照组无明显差异(P0.05)。两组术后肿瘤复发、尿道狭窄发生率均无明显差异(P0.05)。观察组手术时间较对照组长(P0.01)，但失血量、导尿管留置时间、住院时间均低于对照组（P0.01），膀胱穿孔较对照组低（P0.05）。结论 钬激光切除术治疗膀胱肿瘤,方法简便、疗效可靠，创伤小、患者耐受性好、安全，且在失血量、导尿管留置时间、住院时间方面比电切术更有优越性，值得临床推广应用。 [关键词] 激光, 固体钬激光切除； 膀胱肿瘤；疗效治疗结果 [中图法分类号] [文献标志码] A The cClinical efficiency study of Holmium laser resection offor superficial bladder tumor efficacy Teng lixin (Department of Urology, Mukden Hospital, Shenyang Medical College, Mukden Urology, Shenyang , Liaoning Province, 110034, China) [Abstract] Objective To investigate the clinical efficacy of transurethral holmium laser resection of bladder tumor．. Methods A total of 83 patients with superficial bladder tumor were randomly divided into observation group who receiving transurethral holmium laser resection of bladder tumor (n=43), and control group Randomly selected 43 cases of bladder cancer patients as the observation group were randomly as signed to undergoing transurethral holmium laser resection of bladder tumor，and Forty cases as a control group standard electrocautery transurethral resection bladder tumor (n=40)．. The mean operative time，, indwelling urethral catheter time，, amount of blood loss, postoperative recur rences，, the case number of obtaining tumor stages，, and bladder perforation were compared between the two2 groups．. Results There was no significant difference in tumor stage orand grade ofin the two2 groups, has no significant difference (P 0.05). ), so were the Ttumor recurrence and after surgery, the incidence rate of urethral stricture was no significant difference (P 0.05). The observation group had longer Ooperative time than the control group head, the difference was statistically significant (P 0.01), but lower Aamount of blood loss, shorter catheterization time, and hospit