.36.·临床研究·【摘要】目的探讨经尿道膀胱肿瘤激光整块切除术与TURBT在治疗NMIBC的差异。方法收集2020年6月1日-2022年7月31日在本院行经尿道膀胱肿瘤激光切除术与TURBT的89例NMIBC患者的临床资料，将患者随机分成2组，激光组46例（行激光术），电切组43例（行电切术），比较分析2组患者的住院时间、术后尿管留置时间、手术出血量、手术耗时，膀胱刺激症、闭孔神经反射等并发症发生率，术后1年复发率。结果激光组并发症发生率6.52%低于电切组27.91%，差异有统计学意义（P<0.05）。激光组与电切组间，手术耗时无统计学意义（P>0.05）。激光组患者术中出血量、尿管留置时间、住院时间，均优于电切组，差异具有统计学意义（P<0.05）。激光组与电切组间术后1年复发率差异无统计学意义（P>0.05）。结论经尿道激光膀胱肿瘤完整切除术用于对NMIBC患者的治疗优于经尿道膀胱肿瘤电切术。［关键词］激光；膀胱肿瘤切除术；膀胱癌[中图分类号］R737.14【文献标志码］AClinicalstudyofthuliumlaserinthetreatmentofnon-muscularinvasivebladdercancerHANQingjie,TIANChao,LIJianxin,WANGHangtao,ZHONGSuquan,ZHOULinxiong(DepartmentofUrinarySurgery,NorthGuangdongPeople'sHospitalAffiliatedtoShantouUniversity,ShaoguanGuangdong512000,China)Abstract:ObjectiveToinvestigatethedifferencebetweentransurethralthuliumlaserresectionforbladdertumorandTURBTinthetreatmentofNMIBC.MethodsTheclinicaldataof89patientswithNMIBCwhounderwenttransurethralthuliumlaserresectionandTURBTforbladdertumorinourhospitalfrom2020to2022werecollected,patientswererandomlydividedintotwogroups,46caseswereinthuliumlasersurgerygroup(performingthuliumlasersurgery)and43caseswereinelectrotomygroup(performingelectrotomy).Thetwogroupswerecomparedinthelengthofhospitalstay,postoperativecatheterretentiontime,operativebloodloss,intraoperativetime,incidenceofcomplicationssuchasbladderirritation,obturatornervereflexandsoon,andrecurrencerateoneyearaftersurgery.ResultsThecomplicationrateofthuliumlasersurgerygroupwas6.52%lowerthanthatofelectrotomygroup(27.91%),withstatisticalsignificant(P<0.05).Therewasnosignificantdifferenceinintraoperativetimebetweengroupthuliumlasersurgeryandgroupelectrotomy.Theintraoperativebl...
