摘要
目的:研究对浅表性膀胱肿瘤患者采用经尿道膀胱肿瘤电切术(transurethral resection of bladder tumor,TURBT)治疗的效果。方法:回顾性分析2015年1月-2019年12月本院泌尿外科收治的120例浅表性膀胱肿瘤患者的临床资料。按手术方式不同分为研究组(67例)与对照组(53例)。对照组接受传统部分膀胱切除术,研究组接受TURBT。出入院时检测两组患者CD3^(+)、CD8^(+)、CD4^(+)/CD8^(+)、IgG水平,对比两组膀胱冲洗时间、术中失血量、手术操作时间、尿管留置时间、住院时间及术后并发症。结果:出院时,研究组CD3^(+)、CD4^(+)/CD8^(+)、IgG水平均高于对照组(P<0.05),CD8^(+)水平低于对照组(P<0.05),研究组膀胱冲洗时间、手术操作时间、尿管留置时间、住院时间均短于对照组,术中失血量少于对照组,术后并发症发生率低于对照组(P<0.05)。结论:TURBT可加快患者恢复速度并降低术后并发症发生率。
Objective:To study the effect of transurethral resection of bladder tumor(TURBT)in the treatment of superficial bladder tumor.Method:Clinical data of 120 patients with superficial bladder tumor admitted to the department of urology of our hospital from January 2015 to December 2019 were retrospectively analyzed.They were divided into study group(67 cases)and control group(53 cases)according to different operation methods.The control group received traditional partial cystectomy,and the study group received TURBT.The levels of CD3^(+),CD8^(+),CD4^(+)/CD8^(+),IgG were detected at the time of entering and leaving the hospital.Bladder irrigation time,intraoperative blood loss,operation time,catheter indwelling time,hospitalization time and postoperative complications were compared between the two groups.Result:At the time of leaving the hospital,the levels of CD3^(+),CD4^(+)/CD8^(+)and IgG in the study group were higher than those in the control group(P<0.05),the level of CD8^(+)was lower than that of control group(P<0.05),and the bladder irrigation time,operation time,catheter indwelling time,hospitalization time were shorter in the study group than those in the control group,intraoperative blood loss was less than that in the control group,and the incidence of postoperative complications was lower than that in the control group(P<0.05).Conclusion:TURBT can accelerate the recovery of patients and reduce the incidence of postoperative complications.
作者
刘国生
付海波
张志
杜丹
LIU Guosheng;FU Haibo;ZHANG Zhi;DU Dan(Yichang Jiahe Hospital,Yichang 443000,China;不详)
出处
《中外医学研究》
2021年第35期30-33,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
2020年宜昌市医疗卫生科技研究项目(A20-2-033)。
关键词
膀胱肿瘤
浅表性
经尿道膀胱肿瘤电切术
治疗效果
Bladder tumor
Superficial
Transurethral resection of bladder tumor
Therapeutic effect
