经尿道绿激光汽化术与双极等离子电气化术治疗浅表性膀胱肿瘤的比较研究  

Comparative study on transurethral photoselective vaporization and bipolar electrocautery resection in treating superficial bladder tumor

作　　者：韩前河[1] 单中杰[1] 胡建庭[1] 张楠[1] 

机构地区：[1]河南省郑州人民医院泌尿外科,河南郑州450000

出　　处：《中国现代医学杂志》2015年第19期83-86,共4页China Journal of Modern Medicine

摘　　要：目的分析经尿道绿激光汽化术与双极等离子电气化术治疗浅表性膀胱肿瘤的临床效果。方法选择在该院接受住院治疗的浅表性膀胱肿瘤患者作为研究对象,随机分为接受双极等离子电气化术的对照组、接受经尿道绿激光汽化术的观察组,比较两组患者的手术相关指标、手术并发症及围术期应激反应水平差异。结果观察组患者接受治疗的手术时间、术后留置导尿时间及住院时间均短于对照组(P<0.05)。观察组患者接受治疗后的膀胱痉挛、闭孔神经反射、膀胱穿孔、尿路感染和术后再出血等并发症发生率均明显低于对照组患者(P<0.05)。观察组患者手术治疗过程中及术后6 h的肾上腺素(E)、去甲肾上腺素(NE)以及血管紧张素Ⅱ(ATⅡ)水平均明显低于对照组(P<0.05)。结论经尿道绿激光汽化术用于浅表性膀胱肿瘤患者的治疗,可以优化手术过程、减少术后并发症发生、降低围术期应激水平。[ Objective] To analyze the effect of transurethral photoselective vaporization and bipolar electro- eautery resection in treating superficial bladder tumor. [Methods ] Patients with superficial bladder tumor in our hospital were enrolled as research objects and randomly divided into control group received bipolar electrocautery resection, observation group received transurethral photoseleetive vaporization. Then two group patients＇ indicators related to operation, surgical complications and perioperative stress response level were compared. [ Results ] Operation time, bleeding volume, postoperative catheter indwelling time and hospital stay time of observation group were shorter than those of control group, incidence rates of postoperative complications such as bladder spasm, obturator nerve reflex, bladder perforation, urinary tract infection, bleeding again of observation group were significantly lower than those of control group （P 〈 0.05）; Epinephrine （E）, Norepinephrine （NE）, Angiotensin Ⅱ （AT Ⅱ ） levels during surgery and 6h after surgery of observation group were significantly lower than those of control group （P 〈 0.05）. [ Conclusions ] Transurethral photoselective vaporization surgery for treatment of superficial bladder tumor can opti- mize operation process, reduce postoperative complication rate and perioperative stress levels.

关 键 词：浅表性膀胱肿瘤 经尿道绿激光汽化术 双极等离子电气化术 

分 类 号：R737.14[医药卫生—肿瘤]