摘要
目的探讨经尿道直出绿激光膀胱肿瘤剜除术(FGLEBT)治疗非肌层浸润性膀胱癌(NMIBC)的手术效果及安全性。方法选取134例NMIBC患者(2013年1月至2016年8月)进行回顾性分析,根据手术方式分为TURBT组(采用传统的经尿道膀胱肿瘤电切术)76例、FGLEBT组58例(采用FGLEBT手术方式治疗),对比两组患者手术时间、出血量、手术并发症等指标。结果 FGLEBT组的手术时间、术中出血量、留置导尿管时间、膀胱冲洗时间均显著的低于TURBT组,差异有统计学意义(P<0.05);两组患者的术后住院时间比较,差异无统计学意义(P>0.05);FGLEBT组的闭孔神经反射发生率0.00%显著的低于TURBT组的9.21%,差异有统计学意义(P<0.05);两组患者的膀胱穿孔、尿道狭窄、术后24个月复发发生率比较,差异无统计学意义(P>0.05);术后24h、术后72h,FGLEBT组的CRP、WBC水平显著的低于TURBT组,差异有统计学意义(P<0.05)。结论 FGLEBT治疗NMIBC的手术效果可靠,术后闭孔神经反射发生率低,手术创伤更小。
Objective Transurethral enucleation of green laser surgery straight out of bladder tumor（ FGLEBT） for the treatment of non muscle invasive bladder cancer（ NMIBC） the effect of the operation and safety. Methods 134 cases of NMIBC patients（ January 2013 to August 2016） were retrospectively analyzed,according to the operation were divided into TURBT group（ with transurethral resection of bladder tumor traditional） in 76 cases,58 cases of group FGLEBT（ FGLEBT treatment）,compared two groups of patients with operation time,bleeding complications,surgery and other indicators. Results The operative time,FGLEBT group of bleeding volume,indwelling catheter time,bladder irrigation time was significantly lower than that of TURBT group,the difference was statistically significant（ P〈0. 05）; compare the hospitalization of two groups of patients after surgery,the difference was not statistically significant（ P〉0. 05）; obturator nerve reflex and the incidence of group FGLEBT was 0% less than9. 21% in the TURBT group,the difference was statistically significant（ P〈0. 05）; two patients with perforation of the bladder,urethral stricture,postoperative recurrence 24 months were compared,there were no significant differences（ P〉0. 05）; postoperative24 h,72 h,CRP and WBC were significantly lower than that of TURBT group and FGLEBT group. The difference was statistically significant（ P〈0. 05）.Conclusion FGLEBT is effective in the treatment of NMIBC,the incidence of obturator nerve reflex is low,and the operation trauma is smaller.
出处
《四川医学》
CAS
2017年第11期1278-1281,共4页
Sichuan Medical Journal
关键词
绿激光
膀胱肿瘤剜除术
非肌层浸润性膀胱癌
green laser
bladder tumor enueleation
non muscle invasive bladder cancer
