摘要
目的探讨膀胱部分切除术和经尿道电切术治疗浅表性膀胱癌的临床效果。方法选择该院2013年1月—2015年1月收治的浅表性膀胱癌患者60例,随机分组各组为30例,对照组采用膀胱部分切除术进行治疗,观察组采用经尿道电切术进行治疗。观察和比较两组患者术中出血量、手术时间、住院时间、膀胱冲洗时间、留置导管时间、复发率、并发症发生率。结果两组对比,观察组术中出血量(25.3±3.6)m L明显少于对照组(43.3±6.6)m L;观察组手术时间(45.3±8.6)min、住院时间(6.3±2.6)d、膀胱冲洗时间(15.3±6.6)min、留置导管时间(2.3±0.6)d,明显少于对照组手术时间(78.3±10.6)min、住院时间(13.3±3.6)d、膀胱冲洗时间(35.3±8.6)min、留置导管时间(5.3±1.6)d,其复发率3.33%和并发症发生率6.67%,明显低于对照组复发率26.67%和并发症发生率33.33%,数据比较差异具有统计学意义,P<0.05。结论与膀胱部分切除术对比,经尿道电切术治疗浅表性膀胱癌的疗效更为显著,复发率较低,并发症较少,手术出血量较少,大大缩短治疗的时间,具有良好的安全性,值得临床广泛应用以及推广。
Objective To study the resection of the bladder and the urethra electricity cut method for treatment of superficial bladder cancer. Methods From January 2013 to January 2015, 60 cases of superficial bladder cancer patients,randomly assigned each group 30 cases, control group adopts bladder resection treatment, observation group with transurethral electric cut method for treatment. Observe and compare two groups of patients with intraoperative blood loss, operative time, hospitalization time, bladder douche time, indwelling catheter time, recurrence rate, complication rate. Results Two groups of contrast, bleeding amount of observation group(25.3 ±3.6) mL obviously less than control group(43.3±6.6) mL; Group operating time(45.3±8.6) min, length of hospital stay(6.3±2.6) d, bladder douche time(15.3±6.6) min, indwelling catheter time(2.3±0.6) d, significantly less than the control group operating time(78.3± 10.6)min, length of hospital stay(13.3±3.6) d, bladder douche time(35.3±8.6) min, indwelling catheter time(5.3±1.6) d, the recurrence rate and complication rates 3.33% and 6.67%, significantly lower than the control group 26.67% recurrence rate and complication rates 33.33%, data comparison difference is statistically significant, P < 0.05. Conclusion Com-pared with resection of the bladder, the curative effect of transurethral electric cut method in the treatment of superficial bladder cancer is more significant, the recurrence rate is low, fewer complications, less surgical blood loss, shorten the time of treatment, good security, worth clinical wide application and promotion.
出处
《系统医学》
2016年第12期118-120,共3页
Systems Medicine
关键词
膀胱部分切除术
经尿道电切术
浅表性膀胱癌
临床疗效
Resection of the bladder
Transurethral electric cut method
Superficial bladder cancer
Clinical curative effect
