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微创泌尿外科杂志  2016, Vol. 5 Issue (2): 101-103    
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经尿道2 μm激光汽化切除与电切治疗膀胱白斑的疗效比较
李春生1,郭长刚1,夏海波1,包国昌1,高志明1
1.赤峰学院附属医院泌尿外科 024000 赤峰
Comparison of transurethral 2 μm laser vaporesection vs. transurethral resection for leukoplakia of bladder
Li,Chunsheng1,Gou,Changgang1,Xia,Haibo1,Bao,Guochang1,Gao,Zhiming1
1.Department of Urology, the Affiliated Hospital, Chifeng College, Chifeng 024000, China
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摘要 目的:比较两种微创手术治疗膀胱白斑的疗效及安全性,探讨膀胱白斑的治疗选择。方法:回顾分析2011年10月~2014年6月分别采用经尿道2 μm激光汽化切除(观察组)和经尿道电切治疗膀胱白斑(对照组)32例及30例的临床资料。结果:两组患者手术均顺利完成,观察组与对照组手术时间比较差异无统计学意义,观察组住院时间、留置尿管时间及冲洗时间均少于对照组,两组比较差异有统计学意义;观察组有效率为87.5%,对照组有效率72.4%,观察组复发率及并发症的发生率均低于对照组,两组比较差异有统计学意义。结论:经尿道2 μm激光汽化切除治疗膀胱白斑具有较高的治愈率和较低的复发率及并发症发生率,是治疗膀胱白斑较好的手术选择。
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关键词 2 μm激光汽化切除经尿道电切膀胱白斑    
Abstract:To compare the efficiency and safety of two procedures, transurethral 2 μm laser vaporesection and transurethral resection, for the treatment of bladder leukoplakia, and investigate the selection of medical management for bladder leukoplakia. Methods: We retrospectively reviewed the clinical data of 32 cases of bladder leukoplakia treated with transurethral 2 μm laser vaporesection (observation group) and 30 cases treated with transurethral resection (control group) from October 2011 to June 2014. Results: Two groups of patients were successfully operated. The operation time of two groups was not statistically significant. The length of hospital stay, indwelling catheter time and washing time in the observation group were significantly shorter s than the control group (P<0.05 for all). The efficiency in the observasion group was 87.5%, and that in the control group was 72.4%. The relapse rate and complications rate in the observasion group were significantly lower than in the control group (P<0.05). Conclusions: Transurethral 2 μm laser vaporesection for bladder leukoplakia is more effective intervention with higher curative rate and lower recurrence rate, complications rate than transurethral resection.
Key wordstransurethral 2 μm laser vaporesection    transurethral resection    bladder leukoplakia
收稿日期: 2015-12-23     
ZTFLH:  R694  
通讯作者: 李春生,780029515@qq.com   
引用本文:   
李春生,郭长刚,夏海波,包国昌,高志明. 经尿道2 μm激光汽化切除与电切治疗膀胱白斑的疗效比较[J]. 微创泌尿外科杂志, 2016, 5(2): 101-103.
Li,Chunsheng,Gou,Changgang,Xia,Haibo,Bao,Guochang,Gao,Zhiming. Comparison of transurethral 2 μm laser vaporesection vs. transurethral resection for leukoplakia of bladder. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2016, 5(2): 101-103.
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