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浅表性膀胱肿瘤腔内手术方法的选择

The Selection of different Endoscopic Therapy for Superficial Bladder Cancer
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摘要 目的:评价浅表性膀胱肿瘤腔内不同治疗方法及其临床应用价值。方法:回顾性分析经尿道膀胱肿瘤电切术(TURBT)458例及经尿道膀胱肿瘤电气化术(TUVBT)113例治疗浅表性膀胱肿瘤的情况,比较两组的手术时间、术中和术后出血量、并发症发生率和术后肿瘤复发率。结果:TUVBT组术中、术后出血量及并发症方面明显少于TURBT组,差异有显著性(P<0.01),且TUVBT组有易于操作、术中视野清晰的优点。其余方面两组比较无显著性(P>0.05)。结论:TUVBT治疗浅表性膀胱肿瘤较TURBT具有更好的临床应用价值。 Objective: To evaluate the clinical applicated value of different endoscopic surgery(endoscopic resection and vaporization)for superficial bladder tumors. Methods: The aspect of 458 patients with superficial bladder carcinoma treated by transurethral resection of bladder tumor (TURBT) and 113 patients by transurethral vaporization of bladder tumor(TUVBT)was analasised. Operating time, amount of bleeding during and after operation, complications and recurrence rate were compared on the two groups. Results: In the patients of vaporization group, the amount of bleeding and complications during operation were much less than in those of resection group(P〈0. 05), but TUVBT rated better by clearer view during operation and simplicity in maneuvor. The other compared ways were similar in these two groups(P〉0. 05). Conclusion:TUVBT had more clinical value than TURBT for the therapy of superficial bladder papillary transitional cell carcinoma.
出处 《中国临床医学》 北大核心 2005年第6期1056-1057,共2页 Chinese Journal of Clinical Medicine
关键词 膀胱肿瘤 电切术 电气化术 Bladder tumor Endoscopic resectiom Electrovaporization
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参考文献4

  • 1Soloway MS.The management of superficial bladder cancer[J].Cancer,1980,45(7 Suppl):1856-1857. 被引量:1
  • 2Holzbeierlein JM,Smith JA Jr.Surgical management of noninvasive bladder cancer(Stages Ta/T1/CIS)[J].Urol Clin North AM,2000,27(1):15-24. 被引量:1
  • 3黄循.经尿道膀胱肿瘤电切术[J].见:梅骅主编.泌尿外科手术学.第2版.北京:人民卫生出版社,1996:785-790. 被引量:1
  • 4Kaplan SA,Te AE.Transurethral electrovaporization of the prostate:a novel method for treating men with benign prostatic hyperplasia[J].Urology,1995,45:566-572. 被引量:1

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