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《Chongqing Medicine》 2017-13
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Comparative study of diode laser and plasma kinetic resection for treating superficial bladder tumor

Yang Maolin;Yu Yanhong;Zhang Zhuorui;Xiao Minhui;Zhang Ningnan;Department of Urology,Yunnan Provincial First People′s Hospital;  
Objective To investigate the clinical effect of the 1 470 nm diode laser for the treatment of superficial bladder tumor.Methods Two hundreds and sixteen patients diagnosed with superficial bladder tumor were treated in our hospital from January 2012 to January 2014 and divided into the laser group and electric cutting group.The two groups were treated by 1 470 nm diode laser and transurethral plasma kinetic resection respectively.The basic data and the observation indexes were compared between the two groups.Results The operation time,intraoperative bleeding volume,indwelling catheter time and hospital stay time in the laser group were significantly less than those in the electric cutting group.The levels of epinephrine,norepinephrine and angiotensin Ⅱin operation and at postoperative 6hin the laser group were significantly lower than those in the electric cutting group(P0.05).The obturator nerve reflex and bladder perforation did not occur in the laser group,and the total complications occurrence rate was 5.1%,the bladder tumor recurrence rate in postoperative 24 months was 7.1%.The obturator nerve reflex occurrence rate was 7.6%,the vesical perforation rate was 1.7%,the total complications occurrence rate was 15.3%,the bladder tumor recurrence rate in postoperative 24 months was 17.8%in the electric cutting group.The above indexes of the laser group were significantly lower than those of the electric cut group(P0.05).Conclusion The 1 470 nm diode laser for the treatment of noninvasive superficial bladder tumor has definitely curative effect,is easy to operate with low postoperative complication occurrence rate,high safety and low middle and long term recurrence rate,moreover has little influence on patient′s stress level.
【Fund】: 国家自然科学基金地区基金项目(81260375)
【CateGory Index】: R737.14
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【Citations】
Chinese Journal Full-text Database 2 Hits
1 YI Wenfa;CAO Huiyan;Department of Urology,Qinghai Provincial People's Hospital;;Preliminary discussion on 1470nm diode laser combined with intravesical chemotherapy for superficial bladder tumor(Report of 27 cases)[J];临床泌尿外科杂志;2015-09
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【Co-citations】
Chinese Journal Full-text Database 6 Hits
1 Yang Maolin;Yu Yanhong;Zhang Zhuorui;Xiao Minhui;Zhang Ningnan;Department of Urology,Yunnan Provincial First People′s Hospital;;Comparative study of diode laser and plasma kinetic resection for treating superficial bladder tumor[J];重庆医学;2017-13
2 Zhang Mingcong;Zhang Chuanjie;Zhu Jundong;Cheng Wei;Yang Bin;Xin Feng;Liu Jiuhua;Department of Urology, The Second People's Hospital of Lianyungang;Department of Urology, The First Clinical College, Nanjing Medical University;;Comparison of clinical effect between 1 470 nm laser resection of prostate and transurethral resection of prostate[J];中华临床医师杂志(电子版);2016-19
3 Liu Cheng;Yao Dongwei;Liu Xuejun;Department of Urology,The Second People's Hospital of Lianyungang;;The clinical research of transurethral diode laser en bloc resection combined with gemcitabine intravesical chemotherapy for non-muscle invasive bladder tumor[J];国际泌尿系统杂志;2016-04
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