武警医学2013，Vol.24Issue(3)：199-202,4.
三种腔镜技术应用于治疗非浸润性膀胱肿瘤的疗效、安全性比较
Comparison of three telescopes for treatment of non muscle-invasive bladder cancer
刘萃龙 1赵豫波 1郭建军 2关维民 1张勇建 1欧阳昀 1周国明 1于春杰1
作者信息
- 1. 100048,北京,海军总医院泌尿外科
- 2. 075000,张家口,解放军第251医院泌尿外科
- 折叠
摘要
Abstract
Objective To evaluate the safety and efficacy of greenlight laser selective vaporization, per urethra dipolar plasma electrotomy and transurethral electroresection for the treatment of non muscle - invasive bladder cancer. Methods 536 cases of non - invasive bladder cancer during May 2002 to December 2011 were retrospective studied. The patients were divided into 3 groups according to operative procedures; green laser group (PVP group, 215 cases) , transurethral plasma bipolar electric excision group (PKRBt group, 187 cases) and transurethral electroresection group (TURBt group, 134 cases). The indexes were compared including operation time, u-rinary indwelling catheter time after operation, length of stay after operation, relapse rate and complications after operation. Results There were no significant differences in operation time [ (50. 18 ± 18.76) min VS (49. 88 ± 13. 23) min VS (51. 21 ± 15.32) min] and incidence of infection(3.7% VS 7. 0% VS 6. 0% ) after operation in the 3 groups. And the time of urinary indwelling catheter in PVP group was significantly shorter than in the other 2 groups [ (4.92 ±3.67) d VS (9. 16 ±4.56) d VS (9.37 ±5.78) d, P<0.05] , and there was no significant difference between PKRBt group and TURBt group. PVP group had a shortest length of stay after operation and TURBt group had a longest length of stay [(7.64 ±4.87) d VS (13.15 ± 12. 84) d VS (16.24 ±13.23) d,P<0.05]. The relapse rate in PVP group was significantly lower than in the other groups ( 7. 4% VS 15. 5% VS 17. 2% , P < 0. 05 ) and there was no significant difference between PKRBt group and TURBt group. The complications in PVP group were significantly fewer than in the other 2 groups (P <0.05) and there was no significant difference between PKRBt group and TURBt group. Conclusions PKRBt has no more advantages besides fewer obturator nerve reflex than TURBt. Green laser photoselective vaporization is one kind of safe and effective treatment for non muscle - invasive bladder cancer. And it have such superiority as fewer trauma and bleeding, shorter time of indwelling urinary catheter and length of stay after operation, lower relapse rate and no obturator nerve reflex.关键词
膀胱肿瘤/绿激光/等离子/电切Key words
non muscle - invasive bladder cancer/ green laser/ dipolar plasmakinetic energy electrification/ transurethral electroresection分类
医药卫生引用本文复制引用
刘萃龙,赵豫波,郭建军,关维民,张勇建,欧阳昀,周国明,于春杰..三种腔镜技术应用于治疗非浸润性膀胱肿瘤的疗效、安全性比较[J].武警医学,2013,24(3):199-202,4.
