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经尿道绿激光汽化和经尿道电切治疗浅表性膀胱肿瘤的疗效比较(1)
http://www.100md.com 2017年2月19日 《医学信息》 2017年第7期
     摘要:目的分析对比经尿道绿激光汽化治疗和经尿道电切治疗浅表性膀胱肿瘤的临床治疗效果以及相关表现。方法 选取我院2014年2月~2016年2月收治入院的浅表性膀胱肿瘤患者38例,将其随机分为观察组19例和对照组19例,对照组采取经尿道电切术治疗,观察组采取经尿道绿激光汽化术治疗,分析对比两组患者的临床治疗效果以及相关表现。结果 术后3个月随访观察组出现1例复发死亡患者,病死率为5.2%,对照组出现3例患者死亡,病死率为15.2%。两组数据具有显著性差异和统计学意义(P<0.05)。结论 采取经尿道绿激光汽化术治疗浅表性膀胱肿瘤具有显著的临床治疗效果,并且对比经尿道电切术,其手术治疗时间和术中出血量等方面无统计学差异,更加适合在临床上针对浅表性膀胱肿瘤的治疗,适合广泛的推广和应用。

    关键词:经尿道绿激汽化术;经尿道电切术;浅表性膀胱肿瘤

    Comparison of Therapeutic Effects of Transurethral Laser Vaporization of the Prostate and Transurethral Resection of Superficial Bladder Tumor
, http://www.100md.com
    PANG Liang,JING Zhen,HU Tie-liang,ZHANG Feng-qing

    (Department of Urology,Tianjin Institute of Occupational Disease Prevention and Control,Tianjin 300011,China)

    Abstract:Objective To compare the clinical efficacy and related manifestations of transurethral green laser vaporization and transurethral resection of superficial bladder tumor.Methods 38 patients with superficial bladder cancer admitted to our hospital from February 2014 to February 2016 were randomly divided into observation group(n=19) and control group(n=19).The control group was treated by transurethral resection.The observation group was treated by transurethral green laser vaporization,and the clinical treatment effect and related performance of the two groups were analyzed and compared.Results After 3 months of follow-up observation group of 1 cases of recurrent patients died,the mortality rate was 5.2%,the control group of 3 patients died,the mortality rate for the 15.2%,data of the two groups have significant differences and statistical significance(P<0.05).Conclusion Transurethral green laser vaporization in treatment of superficial bladder tumor with clinical effect is remarkable,and the comparison of transurethral resection,no significant difference between the treatment time and bleeding volume,more suitable in clinic for the treatment of superficial bladder tumor, suitable for extensive promotion and application.
, http://www.100md.com
    Key words:Transurethral vaporization of the prostate;Transurethral resection of the prostate;Superficial bladder tumor

    淺表性膀胱肿瘤又称浅表性膀胱癌,是指从TaG1~T1G3的所有肿瘤,也包括Tis原位肿瘤在内,据不完全统计,在新发的膀胱肿瘤患者中,约有75%~85%为浅表性膀胱肿瘤,如不在第一时间进行治疗,会有70%的可能复发。目前临床上对于浅表性膀胱肿瘤的发病原因尚不统一,主要是根据患者的自身因素和环境因素来判定发病原因,所以,在治疗上也存在一定的差异[1]。本文就经尿道绿激光汽化和经尿道电切治疗浅表性膀胱肿瘤的疗效做研究,旨在分析有效治疗浅表性膀胱肿瘤的治疗方法,从而提高患者的生活质量,现报告如下。

    1资料与方法

    1.1一般资料 选取我院2014年2月~2016年2月收治入院的浅表性膀胱肿瘤患者38例,将其随机分为观察组19例和对照组19例,对照组男12例,女7例。患者年龄在20~68岁,平均年龄(42.34±2.62)岁;观察组男10例,女9例,患者年龄在21~66岁,平均年龄40.12±1.58岁。;两组患者入院时均确诊为浅表性膀胱肿瘤。两组患者性别、年龄等一般资料对比无统计学差异(P>0.05), http://www.100md.com(庞亮 荆振 胡铁良 张凤卿)
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