Transurethral frontfiring photoselective vaporization over transurethral bipolar plasmakinetic resection for the treatment of cystitis glandularis
10.3760/cma.j.issn.1000-6702.2018.z1.022
- VernacularTitle:经尿道直出绿激光汽化术与经尿道双极等离子电切术治疗腺性膀胱炎的比较研究
- Author:
Xiaofu QIU
1
;
Guosheng YANG
;
Baichuan LIU
;
Ruilun ZHONG
;
Bingwei WANG
;
Gaoyuan LI
;
Bote CHEN
;
Tao ZHANG
;
Kanjian LIN
;
Huaru ZHANG
;
Youhua LUO
Author Information
1. 广东省第二人民医院泌尿外科
- Keywords:
Cystitis glandularis;
Front-firing photoselective vaporesection;
Bipolar plasmakinetic resection
- From:
Chinese Journal of Urology
2018;39(z1):57-60
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of transurethral frontfiring photoselective vaporesection for the treatment of cystitis glandularis,by comparing with the transurethral bipolar plasmakinetic resection.Methods From January 2014 to July 2016,41 patients with pathologically diagnosed cystitis glandularis in our hospital,were divided into two groups,including 22 cases underwent transurethral frontfiring photoselective vaporesection(the observation group),and the other 19 cases underwent transurethral bipolar plasmakinetic resection(the control group).All patients were regularly treated with postoperative intravesical instillation chemotherapy with pirarubicin.The clinical data of two groups were statistically analyzed to compare the differences of the safety and efficacy.Results All the surgeries were performed successfully.There were no statistical significances in perioperative data,the operation time,the decreased concentration of hemoglobin(Hb)and Na+,operative related complications, indwelling catheter duration and hospitalization duration between the two groups.The first-time cure rate and the effective rate of transurethral frontfiring photoselective vaporesection showed significantly better than those of transurethral bipolar plasmakinetic resection(P<0.05 for each).Conclusion Comparing the traditional transurethral bipolar plasmakinetic resection for the treatment of cystitis glandularis,tansurethral frontfiring photoselective vaporesection with postoperative intravesical instillation chemotherapy with pirarubicin,is a safer,simpler,and more effective method,which could be a new optional method in the conditional hospitals,deserving the worthy of clinical popularization.
