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经尿道钬激光切除与电切治疗浅表性膀胱癌的疗效对比

许志斌 王江平 焦勇

川北医学院学报2017,Vol.32Issue(4):567-569,3.
川北医学院学报2017,Vol.32Issue(4):567-569,3.DOI:10.3969/j.issn.1005-3697.2017.04.024

经尿道钬激光切除与电切治疗浅表性膀胱癌的疗效对比

Efficacy comparison of holium laser resection and transurethral resection in the treatment of superficial bladder cancer

许志斌 1王江平 1焦勇1

作者信息

  • 1. 第四军医大学唐都医院泌尿外科,陕西 西安 710038
  • 折叠

摘要

Abstract

Objective:To compare the efficacy of holium laser resection of bladder tumor (HOLBT) and transurethral resection of bladder tumor (TURBT) in the treatment of superficial bladder cancer.Methods:According to different surgical methods,97 patients with superficial bladder cancer were divided into HOLBT group (n=49) and TURBT group (n=48).The surgical conditions,levels of pre-and postoperative inflammatory factors,complications and postoperative 2-year accumulative recurrence rate were all observed in two groups.Results:Compared with TURBT group, intraoperative amount of bleeding decreased obviously,time of indwelling catheter and hospital stays were shorter in HOLBT group (P<0.01).Compared with TURBT group, levels of postoperative interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) reduced significantly,while that of IL-10 increased markedly in HOLBT group (P<0.01).The total incidence of complications and postoperative 2-year accumulative recurrence rate were 6.12%,8.16% in HOLBT group and 20.83%,22.92% in TURBT group,and both significant differences were shown between two groups (P<0.05).Conclusion:HOLBT has significant efficacy and higher safety in the treatment of superficial bladder cancer.It hardly impacts the levels of postoperative inflammatory factors,and is conductive to decreasing postoperative recurrence rate.

关键词

经尿道钬激光膀胱肿瘤切除术/经尿道膀胱肿瘤电切术/浅表性膀胱癌/炎症因子

Key words

Holium laser resection of bladder tumor/Transurethral resection of bladder tumor/Superficial bladder cancer/Inflammatory factors

分类

医药卫生

引用本文复制引用

许志斌,王江平,焦勇..经尿道钬激光切除与电切治疗浅表性膀胱癌的疗效对比[J].川北医学院学报,2017,32(4):567-569,3.

川北医学院学报

OACSTPCD

1005-3697

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