CAJ | 학술논문

目的：评价经尿道钬激光膀胱肿瘤切除术（HOLRBT）与经尿道膀胱肿瘤电切术（TURBT）治疗非肌层浸润性膀胱肿瘤（NMIBT）的优劣。方法：回顾性分析60例分别行HOLRBT术（n=30）与TURBT术（n=30）的NMIBT患者的临床资料，比较手术时间、术中闭孔神经反射、术后膀胱冲洗时间、术后住院时间及1年原位复发率等指标。结果：HOLRBT组手术时间大于TURBT组（P<0.05）；术中闭孔神经反射率、术后膀胱冲洗时间、术后住院时间明显小于TURBT组（P<0.05）；两组1年原位复发率差异无统计学意义（P>0.05）。结论：钬激光在治疗NMIBT方面同电切一样疗效确切，但钬激光手术方法易掌握、安全性高、且并发症少。两者各有利弊，可根据患者具体情况选择手术方式。
목적：평개경뇨도화격광방광종류절제술（HOLRBT）여경뇨도방광종류전절술（TURBT）치료비기층침윤성방광종류（NMIBT）적우렬。방법：회고성분석60례분별행HOLRBT술（n=30）여TURBT술（n=30）적NMIBT환자적림상자료，비교수술시간、술중폐공신경반사、술후방광충세시간、술후주원시간급1년원위복발솔등지표。결과：HOLRBT조수술시간대우TURBT조（P<0.05）；술중폐공신경반사솔、술후방광충세시간、술후주원시간명현소우TURBT조（P<0.05）；량조1년원위복발솔차이무통계학의의（P>0.05）。결론：화격광재치료NMIBT방면동전절일양료효학절，단화격광수술방법역장악、안전성고、차병발증소。량자각유리폐，가근거환자구체정황선택수술방식。
Objective:To evaluate the advantages and disadvantages of holmium laser resection(HOLR)and transurethral resection(TUR) for the treatment of non-muscle invasive bladder tumor(NMIBT). Method:The clinical records of totally 60 patients with NMIBT were divided into HOLRBT group(n=30)and TURBT groups(n=30). The operation time,obturator nerve reflex,postoperative bladder irrigation time,postoperative hospitalization duration and one-year recurrence in situ were compared between the two groups. Result:More mean operation time were observed in the HOLRBT group(P<0.05),less obturator nerve reflex,mean postoperative bladder irrigation time and mean postoperative hospitalization duration were observed in HOLRBT group(P<0.05),one-year recurrence in situ was similar in the two groups(P>0.05). Conclusion:The HOLRBT therapy has definite effects on the treatment of NMIBT as TURBT.Compared with the TURBT,HOLRBT has more advantages,as wieldy operation method,high security and low complication.In short,we should choose the suitable operation means according to the different conditions.