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目的:探讨经尿道铥激光膀胱部分切除与电切治疗膀胱癌的安全性及疗效。方法:2009年11月～2012年6月治疗膀胱癌患者108例,其中铥激光组55例,电切组53例,比较术中术后情况、肿瘤复发率等。结果:铥激光组手术时间(21.8±13.0)min、血色素下降(0.69±0.38)g、无闭孔神经反射。电切组手术时间(17.6±11.5)min、血色素下降(1.17±0.57)g、闭孔神经反射10例、2例中转开放。两组随访2～24个月,分别复发6例和10例。结论:经尿道铥激光膀胱部分切除术可达到并切除深肌层,可更准确进行病理分期,同时具有手术出血少、无闭孔神经反射等优势。但对于特殊部位的膀胱肿瘤,经尿道铥激光手术不能替代电切手术。
Objective: To investigate the safety and efficacy of transurethral resection of laser bladder partial resection and resection of bladder cancer. Methods: From November 2009 to June 2012, 108 patients with bladder cancer were treated, including 55 cases of 铥 laser group and 53 cases of resection group. The intraoperative and postoperative recurrence rates and tumor recurrence rates were compared. Results: In 铥 group, the operation time (21.8 ± 13.0) min, hemoglobin decreased (0.69 ± 0.38) g, no obturator nerve reflex. The operative time (17.6 ± 11.5) min, hemoglobin decrease (1.17 ± 0.57) g, obturator nerve reflex in 10 cases and open transit in 2 cases. The two groups were followed up for 2 to 24 months, 6 cases and 10 cases relapsed respectively. Conclusion: Partial transurethral resection of the bladder with laser can reach and excise the deep myometrium, which can be more accurately pathological staging. At the same time, it has the advantages of less operation bleeding and no obturator nerve reflex. But for special parts of the bladder tumor, transurethral 铥 laser surgery can not replace the power cut surgery.