:tionof(临床工程）·论著·:1189.临床医学工程星2023年9月第30卷第9期经尿道铁激光膀胱肿瘤切除术与经尿道膀胱肿瘤等离子电切术治疗非肌层浸润性膀胱癌的效果对比叶根恒，程丽芳濮阳市濮阳县人民医院泌尿外科，河南濮阳457000)【摘要】目的对比经尿道铁激光膀胱肿瘤切除术（HOLRBT）与经尿道膀胱肿瘤等离子电切术（TURBT）治疗非肌层浸润性膀胱癌癌（NMIBC）的临床效果。方法选取2018年1月至2021年12月我院收治的60例NMIBC患者，随机分为对照组（n=30）和观察组（n=30)。对照组行TURBT治疗，观察组行HOLRBT治疗。比较两组的围术期相关指标及并发症发生情况。结果两组的手术时间比较差异无统计学意义（P>0.05)。与对照组比较，观察组术中出血量较低，尿管留置时间、住院时间较短（P<0.05)。观察组并发症发生率为6.67%，低于对照组的30.00%（P<0.05)。结论与TURBT相比，HOLRBT可明显降低NMIBC患者的术中出血量与并发症发生率，加速患者术后恢复进程。【关键词】非肌层浸润性膀胱癌；经尿道膀胱肿瘤电切术；经尿道钦激光膀胱肿瘤切除术；并发症中图分类号：R737.14文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.09.1189ComparisonontheEffectsofTransurethralHolmiumLaserResectionofBladderTumorandTransurethralReseSladderTumorintheTreatmentofNon-MuscleInvasiveBladderCancerBladderTumorintheTreatmentofNon-MuscleInvasiveBladderCancerHolontosnitol457000.Chin.aYEGenheng,CHENGLifang(DepartmentofUrology,PuyangCountyPeople'sHospital,Puyang457000,China)[Abstract]ObjectiveTocomparetheclinicaleffectsoftransurethralholmiumlaserresectionofbladdertumor(HOLRBT)andtransurethralresectionofbladdertumor(TURBT)inthetreatmentofnon-muscleinvasivebladdercancer(NMIBC).Methods60NMIBCpatientsadmittedtoourhospitalfromJanuary2018toDecember2021wereselectedandrandomlydividedintocontrolgroup(n=30)andobservationgroup(n=30).ThecontrolgroupwastreatedwithTURBT,andtheobservationgroupwastreatedwithHOLRBT.Theperioperativerelatedindicatorsandcomplicationsofthetwogroupswerecompared.ResultsNostatisticaldifferencewasfoundinthesurgicaltimebetweenthetwogroups(P>0.05).Comparedwiththecontrolgroup,theintraoperativebloodlossoftheobservationgroupwasless,andthecatheterretentiontimeandhospitalizationtim...
