经尿道2.0μm激光切除术治疗浅表性膀胱癌的效果分析  

Analysis of Effect of Transurethral Resection of 2.0μm Laser in Treatment of Superficial Bladder Cancer

作　　者：刘刚[1] 于永刚[1] 刘为池 廖松柏[1] 于管天 朱良振[1] LIU Gang;YU Yong-gang;LIU Wei-chi;LIAO Song-bai;YU Guan-tian;ZHU Liang-zhen(Department of Urology,No.181 Hospital of Chinese People＇s Liberation Army,Guilin,Guangxi,541002 China)

机构地区：[1]中国人民解放军第一八一医院泌尿外科,广西桂林541002

出　　处：《系统医学》2018年第7期129-131,共3页Systems Medicine

摘　　要：目的探讨经尿道2.0μm激光切除术治疗浅表性膀胱癌的临床效果。方法回顾性分析2012年1月—2016年12月间该院收治的83例浅表性膀胱癌患者临床资料,按照治疗方法为2组,对照组36例采用经尿道电切术治疗,研究组47例采用经尿道2.0μm激光切除术治疗。比较两组患者术中出血量、手术时间、导尿管留置时间、住院时间、并发症发生情况、复发情况。结果研究组患者术中出血量(53.1±10.7)m L显著少于对照组(78.4±8.1)m L(t=11.822,P<0.05),手术时间(28.5±3.6)min显著短于对照组(43.3±4.2)min(t=17.264,P<0.05)。研究组患者导尿管留置时间(6.0±1.7d)以及住院时间(11.9±2.4)d与对照组[(5.6±1.4)d,12.4±2.6)d]比较差异无统计学意义(t=1.145,0.907,P>0.05)。研究组患者并发症发生率(17.02%)显著小于对照组(52.78%)(χ~2=11.875,P<0.05),研究组复发率(4.25%)显著低于对照组(27.77%)(χ~2=9.120,P=0.003)。结论经尿道2.0μm激光切除术治疗浅表性膀胱癌疗效确切,可降低对患者损伤,减少并发症发生率,具有较高的临床应用价值。Objective To explore the clinical effect of transurethral resection of 2.0μm laser for the treatment of superficial bladder cancer. Methods A retrospective analysis was performed from January 2012 to December 2016 in our hospital of 83 cases with superficial bladder cancer. According to the method of treatment all the patients were divided into two groups, the control group of 36 patients with transurethral resection, and 47 cases of the study group with transurethral 2.0μm laser resection. And the blood loss volume, operation time, indwelling catheter time, hospitalization time, complications and recurrence in patients in the two groups were compared. Results The intraoperative blood loss（53.1±10.7）m L in the study group was significantly less than that in the control group（78.4±8.1）m L（t=11.822,P〈0.05）,and the operative time（28.5±3.6 min） was significantly shorter than that in the control group（43.3±4.2）min（t=17.264,P〈0.05）. The time of catheter indwelling（6.0±1.7 d） and hospitalization time（11.9±2.4）d in the study group were not significantly different from those in the control group[（5.6±1.4）d,12.4±2.6）d]（t=1.145,0.907,P〈0.05）. The incidence of complications in the study group（17.02%） was significantly less than that in the control group（52.78%）（χ^2=11.875, P〈0.05）,and the recurrence rate in the study group（4.25%） was significantly lower than that in the control group（27.77%）（χ^2=9.120, P=0.003）. Conclusion Transurethral resection of 2.0 μm laser treatment for superficial bladder cancer is effective, which can reduce the damage to patients and the incidence of complications, with high clinical value.

关 键 词：经尿道2.0μm激光切除术 经尿道电切术 浅表性膀胱癌 临床疗效 

分 类 号：R737.14[医药卫生—肿瘤]