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目的比较经尿道等离子膀胱肿瘤电切术(PKR-BT)与经尿道钬激光膀胱肿瘤切除术(HOLRBT)治疗非肌层浸润性膀胱癌的临床效果。方法选取非肌层浸润性膀胱肿瘤患者201例,按照手术方式不同分为PKR-BT组133例和HOLRBT组68例,比较2组患者疗效及并发症情况。结果 HOLRBT组留置导尿管时间短于PKR-BT组,闭孔神经反射和膀胱穿孔发生率均低于PKR-BT组,差异有统计学意义(P<0.05);2组患者手术时间、术后1年复发率比较差异无统计学意义(P>0.05)。结论 HOLRBT术疗效确切,安全性高,并发症少,是临床治疗浅表性膀胱肿瘤的理想方法。
Objective To compare the clinical effects of transurethral resection of bladder tumor (PKR-BT) and transurethral holmium laser bladder tumor resection (HOLRBT) in the treatment of non-muscle invasive bladder cancer. Methods Totally 201 patients with non-muscle invasive bladder tumor were divided into three groups: PKR-BT group (133 cases) and HOLRBT group (68 cases). The curative effect and complication of the two groups were compared. Results The catheterization time in HOLRBT group was shorter than that in PKR-BT group, and the incidence of obturator nerve reflex and bladder perforation was lower than that of PKR-BT group (P <0.05). The operation time and operation One year after the recurrence rate difference was not statistically significant (P> 0.05). Conclusion HOLRBT is an effective method for the treatment of superficial bladder tumor with definite curative effect, high safety and few complications.