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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。方法随机选取我院2006年6月至2010年6月收治的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(P>0.05)。两组术后肿瘤复发、尿道狭窄发生率均无明显差异(P>0.05)。观察组手术时间较对照组长(P<0.01),但失血量、导尿管留置时间、住院时间均低于对照组(P<0.01),膀胱穿孔较对照组低(P<0.05)。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。
Objective To investigate the efficacy of transurethral holmium laser in the treatment of superficial bladder tumors. Methods Forty-three patients with bladder cancer who were treated in our hospital from June 2006 to June 2010 were selected as the observation group undergoing holmium laser resection of the urethra and 40 cases as the control group underwent transurethral resection of the urethra. The clinical data of the two groups were summarized The operation time, blood loss, catheter indwelling time, tumor recurrence, tumor stage and number of bladder perforation were compared. Results The observation group obtained accurate tumor staging, grading, and no significant difference with the control group (P> 0.05). There was no significant difference between the two groups in recurrence of tumor and incidence of urethral stricture (P> 0.05). The operation time of the observation group was shorter than that of the control group (P <0.01), but the blood loss, catheter retention time and hospital stay were all lower than those of the control group (P <0.01). Conclusion Holmium laser resection of bladder cancer, the method is simple, reliable, less trauma, patients with good, safe, and in blood loss, catheter indwelling time, hospitalization time is more superior than the resectoscope, it is worth Clinical application.