摘要
目的比较经尿道针状电极膀胱肿瘤整块切除术与经尿道膀胱肿瘤电切术治疗膀胱癌的临床效果。方法回顾性分析2015年1月至2017年9月于我院泌尿外科实施尿道针状电极膀胱肿瘤整块切除术的60例膀胱癌患者(观察组)与实施经尿道膀胱肿瘤电切术的60例膀胱癌患者(对照组)的临床资料。比较两组的手术相关指标、术后不同时间的疼痛情况、术后并发症发生情况、术后恢复时间、远期生存率及局部复发率。结果两组的手术时间无显著差异(P>0.05);观察组的术中出血量少于对照组,切缘阳性率低于对照组(P<0.05)。观察组术后12、24、36、48 h的疼痛评分均低于对照组(P<0.05)。观察组的术后并发症总发生率低于对照组,尿管留置时间、膀胱冲洗时间及住院时间短于对照组(P<0.05)。观察组术后1、2、3年的生存率均高于对照组,术后1、2、3年的局部复发率均低于对照组(P<0.05)。结论相比于经尿道膀胱肿瘤电切术,采用经尿道针状电极膀胱肿瘤整块切除术治疗膀胱癌可减少局部复发,提高远期生存率,减轻手术创伤,降低术后并发症发生风险,加快术后恢复。
Objective To compare the clinical effects of transurethral needle electrode cystectomy and transurethral resection of bladder tumor on bladder cancer.Methods The clinical data of 60 cases of bladder cancer undergoing transurethral needle electrode cystectomy(observation group)and 60 cases of bladder cancer undergoing transurethral resection of bladder tumor(control group)in urology department of our hospital from January 2015 to September 2017 were retrospectively analyzed.The operation related indexes,postoperative pain at different time,postoperative complications,postoperative recovery time,long-term survival rate and local recurrence rate were compared between the two groups.Results There was no significant difference in operation time between the two groups(P>0.05);the intraoperative bleeding volume in the observation group was less than that in the control group,and the positive rate of cutting edge was lower than that in the control group(P<0.05).The pain scores at 12,24,36 and 48 h after operation of the observation group were lower than those of the control group(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,and the indwelling time of urinary catheter,bladder flushing time and hospitalization time in the observation group were shorter than those in the control group(P<0.05).The survival rates at 1,2 and 3 years after operation of the observation group were higher than those of the control group,and the local recurrence rates at 1,2 and 3 years after operation were lower than those of the control group(P<0.05).Conclusion Compared with transurethral resection of bladder tumor,transurethral needle electrode cystectomy can reduce local recurrence,improve long-term survival rate,reduce surgical trauma,decrease the risk of postoperative complications,and accelerate postoperative recovery.
作者
王宝
顾浩
马江
WANG Bao;GU Hao;MA Jiang(Xi'an People's Hospital/Xi'an Fourth Hospital,Xi'an 710004;Shaanxi Armed Police Corps Hospital,Xi'an 710054,China)
出处
《临床医学研究与实践》
2021年第26期86-88,共3页
Clinical Research and Practice
