CAJ | 학술논문

目的：探讨经尿道膀胱肿瘤直束绿激光剜除术与等离子电切术在膀胱肿瘤治疗中的疗效及安全性。方法选取2012年3月至2013年9月60例经病理活检证实的非肌层浸润性膀胱癌患者，随机分成两组，每组30例。分别采用经尿道膀胱肿瘤直束绿激光剜除术和经尿道膀胱肿瘤等离子电切术治疗。记录两组围手术期情况及术后3个月、6个月的随访情况，对两组数据进行分析，并作统计学处理。结果本次研究中手术均顺利完成，无闭孔神经反射及膀胱穿孔。直束光剜除术组术中出血量、术后膀胱冲洗时间、术后留置尿管时间及术后住院时间明显小于等离子电切组，差异均有统计学意义（P ＜0．05）。术后3个月时随访均无复发病例，术后6个月时随访，直束绿激光剜除组无复发病例，等离子电切组有1例复发。结论经尿道膀胱肿瘤直束绿激光剜除术治疗膀胱肿瘤疗效显著，与等离子电切术相比更为安全。
목적：탐토경뇨도방광종류직속록격광완제술여등리자전절술재방광종류치료중적료효급안전성。방법선취2012년3월지2013년9월60례경병리활검증실적비기층침윤성방광암환자，수궤분성량조，매조30례。분별채용경뇨도방광종류직속록격광완제술화경뇨도방광종류등리자전절술치료。기록량조위수술기정황급술후3개월、6개월적수방정황，대량조수거진행분석，병작통계학처리。결과본차연구중수술균순리완성，무폐공신경반사급방광천공。직속광완제술조술중출혈량、술후방광충세시간、술후류치뇨관시간급술후주원시간명현소우등리자전절조，차이균유통계학의의（P ＜0．05）。술후3개월시수방균무복발병례，술후6개월시수방，직속록격광완제조무복발병례，등리자전절조유1례복발。결론경뇨도방광종류직속록격광완제술치료방광종류료효현저，여등리자전절술상비경위안전。
Objective To compare the clinical efficacy and safety of transurethral straight light beam green-light enucleation with plasmakinetic transurethral resection for non muscle-invasive bladder tumor (NMIBT). Methods To select 60 NMIBT patients who were proved by cystoscopy and pathological biopsy. The methods was used randomly. All patients were performed with transurethral straight light beam greenlight enucleation or plas-makinetic transurethral resection. The mean operative time,blood loss,bladder perforation,indwelling urethral catheter time and incidences of postoperative recurrence were compared. Results There was no significant differ-ence of mean operative time between the two groups (P >0. 05). The blood loss,indwelling urethral catheter time and incidences of postoperative recurrence were lower in straight light beam greenlight enucleation group than in plasmakinetic transurethral resection group (P<0 . 05 ). There was no obturator nerve reflex or bladder perfusion. At three and six months after the operation,the straight beam green laser enucleation group had no re-currence case,and there was 1 case recurrence in the other group. Conclusions Transurethral straight light beam greenlight enucleation of NMIBT is proved with high security,quick recovery and low recurrence rate.