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微创泌尿外科杂志  2014, Vol. 3 Issue (4): 219-223    
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HX-610-135L型钛夹在经尿道2 μm激光切除术治疗非肌层浸润性膀胱癌中的应用
刘志峰1,赵永伟1,李福康2,刘义东1,郝晓航1,阮政1,王兴亮1
1泰安市中心医院泌尿外科 271000 山东泰安
2泰安市中心医院消化内二科
Application of titanium clips in transurethral resection of non-muscle-invasive bladder tumor with 2-micron laser
Liu Zhifeng1,Zhao Yongwei1,Li Fukang2,Liu Yidong1,Hao Xiaohang1,Ruan Zheng1,Wang Xingliang1
1Department of Urology, the Central Hospital of Taian, Taian 271000, China;
2Department of Gastroenterology, the Central Hospital of Taian
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摘要 目的:探讨HX-610-135L型钛夹在经尿道2 μm激光切除术治疗非肌层浸润性膀胱癌中应用的有效性及安全性。方法:将57例非肌层浸润性膀胱癌患者随机分为两组,29例行经尿道2 μm激光切除术+膀胱创面钛夹夹闭术(钛夹组),28例行经尿道2 μm激光切除术(对照组);比较两组患者术后膀胱冲洗时间、术后保留尿管时间、膀胱创面愈合时间、术后6个月内泌尿道感染发生率等指标。结果:57例患者均顺利完成手术,无严重并发症发生。钛夹组术后膀胱冲洗时间、术后留置尿管时间、膀胱创面愈合时间、术后泌尿道感染发生率明显小于对照组(P<0.05)。结论:非肌层浸润性膀胱癌行经尿道2 μm激光切除术后将膀胱创面用钛夹夹闭可减少创面出血,缩短创面愈合时间,减少术后泌尿道感染的发生率。
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刘志峰
赵永伟
李福康
刘义东
郝晓航
阮政
王兴亮
关键词 HX-610-135L型钛夹2 μm激光膀胱肿瘤    
AbstractObjective:To investigate the efficacy and safety of HX-610-135L titanium clip in 2-micron laser treatment of non-muscle-invasive bladder tumor. Methods:A total of 57 non-muscle invasive bladder tumor patients were randomly divided into titanium group (n=29) and non-titanium group (n=28). All patients received transurethral resection of the bladder tumor with 2-micron laser, while the titanium group also underwent endoscopic closure of bladder mucosa with titanium clips resection. Peri delete operative complications were observed and the patients were followed up with cystoscopy for evaluation of therapeutic effect. Results:All operations were successfully completed without serious complications. Titanium group was significantly superior to non-titanium group in bladder irrigation time, catheter retention time, vescical mucosal healing time and the incidence rate urinary tract (P<0.05). Conclusions:Application of titanium clips can improve the feasibility and tolerability of transurethral resection of bladder tumor with 2-micron laser.
Key wordstitanium clips    2 micron laser resection    bladder tumors
收稿日期: 2014-07-08     
ZTFLH:  R737.4  
通讯作者: 赵永伟,mnwkyslzf@163.com   
引用本文:   
刘志峰,赵永伟,李福康,刘义东,郝晓航,阮政,王兴亮. HX-610-135L型钛夹在经尿道2 μm激光切除术治疗非肌层浸润性膀胱癌中的应用[J]. 微创泌尿外科杂志, 2014, 3(4): 219-223.
Liu Zhifeng,Zhao Yongwei,Li Fukang,Liu Yidong,Hao Xiaohang,Ruan Zheng,Wang Xingliang. Application of titanium clips in transurethral resection of non-muscle-invasive bladder tumor with 2-micron laser. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2014, 3(4): 219-223.
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