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
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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.