[1]陈保春,刘利峰.铥激光与等离子电切术治疗膀胱癌疗效对比研究*[J].陕西医学杂志,2019,(2):159-160，165.
　CHEN Baochun,LIU Lifeng..Comparative study of thulium laser and plasma electroresection in resection of bladder tumor[J].,2019,(2):159-160，165.
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铥激光与等离子电切术治疗膀胱癌疗效对比研究*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年2期
页码:
159-160，165
栏目:
临床研究
出版日期:
2020-02-05

文章信息/Info

Title:
Comparative study of thulium laser and plasma electroresection in resection of bladder tumor
文章编号:
DOI: 10.3969/j.issn.10007377.2019.02.005
作者:
陈保春; 刘利峰
河北省沧州市人民医院（沧州 061000）
Author(s):
CHEN Baochun; LIU Lifeng.
Cangzhou People’s Hospital of Hebei Province （Cangzhou 061000）
关键词:
膀胱肿瘤; 治疗; 铥激光; 等离子电切; 安全性; 临床疗效
Keywords:
Key words Bladder neoplasms; Therapy; Thulium laser; Plasma electrolysis; Security; Clinical efficacy
分类号:
R737.14
文献标志码:
A
摘要:
摘 要 目的:比较铥激光与等离子电切治疗在膀胱癌切除术中的安全性和疗效，为临床治疗提供相关依据。方法：选择非肌层浸润型膀胱癌患者80例，其中观察组40例，行经尿道膀胱肿瘤铥激光切除术；对照组40例，行经尿道等离子电切术。比较两组手术时间、术中出血量、术中闭孔神经反射发生率、术后膀胱冲洗天数、术后住院时间、1年内膀胱肿瘤复发率、术后并发症。结果：两组手术时间、1年内膀胱肿瘤复发率差异无统计学意义(P>0.05)；均无严重术后并发症发生。但观察组术中出血量、术中闭孔神经反射发生率、术后膀胱冲洗天数、术后住院时间均优于对照组(P<0.05)。结论：铥激光经尿道膀胱肿瘤切除术对比经尿道等离子电切术，损伤小，出血少，值得临床进一步推广。
Abstract:
Abstract Objective ：Comparison of safety and efficacy of thulium laser and plasma electroresection in resection of bladder tumors,Provide relevant evidence for clinical treatment.Methods：80 cases of nonmyometrial invasive bladder cancer were selected, including 40 cases in the observation group, 40 cases in the observation group, thulium laser resection of bladder tumor, and 40 cases in the control group, with transurethral plasma resection. The time of operation, the amount of blood lost during operation,the incidence of obturator nerve reflex, the days of bladder irrigation after operation, the time of postoperative hospitalization, the recurrence rate of bladder tumor within one year and the postoperative complications were compared between the two groups.Results：There was no significant difference in the recurrence rate of bladder tumor between the two groups within one year (P>0.05), and no serious postoperative complications occurred.But the bleeding volume, obturator nerve reflex rate, bladder irrigation days and postoperative hospitalization time in the observation group were better than those in the control group (P<0.05).Conclusion:Compared with transurethral plasma resection, thulium laser transurethral resection of bladder tumor has less injury and less bleeding.

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备注/Memo

备注/Memo:
*河北省沧州市科学技术研究与发展指导计划项目（162302065）
更新日期/Last Update: 2019-03-13