摘要
目的探讨膀胱肿瘤患者行经尿道肿瘤等离子整块切除术治疗的疗效及临床应用价值。方法该次研究时间范围为2018年2月—2020年2月,抽选期间该院收治膀胱肿瘤患者52例作为研究目标,根据患者入院时编号以单双号法分为两组,对照组采取经尿道膀胱肿瘤电切手术治疗,观察组采取经尿道膀胱肿瘤等离子整块切除手术治疗,对比两组临床疗效,记录各组患者手术期间临床各项指标,分析差异性,另外检测比较各组患者治疗前后尿动力学差异,计算术后并发症发生概率。结果观察组临床疗效明显优于对照组,差异有统计学意义(P<0.05),同时术中出血量(31.04±4.03)mL少于对照组,其他临床指标优于对照组,差异有统计学意义(P<0.05)。两组患者未经手术治疗前尿动力学指标差异无统计学意义(P>0.05),治疗后均明显改善,观察组各项指标优于对照组,差异有统计学意义(P<0.05)。此外,观察组患者术后并发症总发生概率相比对照组更低,差异有统计学意义(P<0.05)。结论膀胱肿瘤患者采取经尿道肿瘤等离子整块切除术治疗效果确切,患者恢复更快,且并发症更少,安全性高,值得临床应用且大力推广。
Objective To investigate the efficacy and clinical application value of transurethral tumor plasma en bladder resection for patients with bladder tumors.Methods The study time range is from February 2018 to February 2020.During the selection period,52 patients with bladder tumors were admitted to the hospital as the research target.The patients were divided into two groups according to their numbers at the time of admission by odd and even numbers.The control group with transurethral resection of bladder tumor was performed,and the observation group was treated with transurethral bladder tumor plasma mass resection.The clinical efficacy of the two groups was compared,the clinical indicators of each group were recorded during the operation,and the differences were analyzed.In addition,each group was tested and compared of the urodynamic difference of patients before and after treatment,the probability of postoperative complications was calculated.Results The clinical efficacy of the observation group was significantly better than that of the control group,the difference was statistically significant(P<0.05),and the intraoperative blood loss(31.04±4.03)mL was less than that of the control group,the difference was statistically significant(P<0.05).Other clinical indicators were better than the control group,the difference was statistically significant(P<0.05).There was no statistical difference in urodynamic indexes between the two groups of patients before surgery(P>0.05),and they were significantly improved after treatment.The observation group was better than the control group,the difference was statistically significant(P<0.05).In addition,the total incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Transurethral tumor plasma en bladder resection is effective for patients with bladder tumors,with faster recovery,fewer complications,and high safety.It is worthy of clinical application and vigorous promotion.
作者
张林
薛红光
祖峰
ZHANG Lin;XUE Hong-guang;ZU Feng(Department of Urology,Funing County People's Hospital,Funing,Jiangsu Province,224400 China)
出处
《世界复合医学》
2020年第11期124-126,共3页
World Journal of Complex Medicine
关键词
经尿道膀胱肿瘤
等离子整块切除术
临床应用
Transurethral bladder tumors
Plasma mass resection
Clinical application
