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《Anhui Medical and Pharmaceutical Journal》 2013-02
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Clinical efficacy of non muscle-invasive bladder cancer(NMIBC) by different surgical approaches

WU Xin-kuan,QI Lin,SU Hong,et al(Department of Urology,The Affiliated Provincial Hospital of Anhui Medical University,Hefei 230001,China)  
Objective To analyze the clinical efficacy of non-muscle-invasive bladder cancer among partial cystectomy,transurethral resection of bladder tumor(TURBt) and holmium laser resection.Methods The 216 follow-up patients with NMIBC were treated in our hospital,of which partial cystectomy 62 cases,TURBt 90 cases,holmium laser resection 64 cases.Based on the analysis of the 2-year recurrence rate,operative time,blood loss,catheterization time,hospital stay and postoperative complications,the clinical efficacy of these three kinds of surgical approach were compared.Results Their 2-year recurrence rate were 41%,31%,33% respectively among TURBt,partial cystectomy and holmium laser resection,and the difference had no significance(P0.05);Not only did the TURBt and holmium laser resection in operative time,catheterization time,hospital stay has less time than partial cystectomy,but also had less blood loss.The difference has significance(P0.001);Furthermore,TURBt had the complications of obturator nerve reflex and bladder perforation and partial cystectomy had bladder spasm.Conclusion Holmium laser resection and TURBt both have the characteristics of less trauma and faster recovery in the treatment of non-muscle-invasive bladder cancer.What's more,the advantages are obvious.
【CateGory Index】: R737.14
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