论文部分内容阅读
目的探讨经尿道等离子双极电切术治疗膀胱肿瘤复发的临床价值。方法 56例膀胱尿路上皮癌复发患者,随机分为观察组和对照组,每组28例。对照组患者使用常规开放性膀胱部分切除术治疗,观察组患者使用经尿道等离子双极电切术治疗。观察比较两组患者的手术指标、肿瘤一次切除率和术后并发症情况。结果观察组手术时间(28.26±6.20)min,术后住院时间(5.36±1.42)d,明显短于对照组的(84.25±15.33)min、(10.67±3.28)d,差异具有统计学意义(P<0.05),观察组术中出血量(33.68±7.81)ml,明显少于对照组的(95.42±17.73)ml,差异具有统计学意义(P<0.05);观察组患者肿瘤一次切除率(100.00%)明显高于对照组(85.71%),差异具有统计学意义(P<0.05);对照组患者并发症总发生率(35.71%)明显高于观察组(10.71%),差异具有统计学意义(P<0.05)。结论经尿道等离子双极电切术治疗膀胱尿路上皮癌患者的临床效果较好,手术时间短,对患者的创伤小,术后恢复快,一次切除率较高,术后并发症发生率较低,有较高的临床应用价值,值得推广。
Objective To investigate the clinical value of transurethral plasma bipolar resection in the treatment of bladder tumor recurrence. Methods 56 cases of bladder urothelial carcinoma recurrence were randomly divided into observation group and control group, 28 cases in each group. Patients in the control group were treated with conventional open partial resection of the bladder and patients in the observation group were treated with transurethral plasmapapolar incision. Observations and comparisons were made between the two groups of patients with surgical indicators, resection rate and postoperative complications. Results The operation time (28.26 ± 6.20) min and postoperative hospital stay (5.36 ± 1.42) d in observation group were significantly shorter than those in control group (84.25 ± 15.33) min and (10.67 ± 3.28) d, respectively (P0.05). The intraoperative blood loss (33.68 ± 7.81) ml in observation group was significantly lower than that in control group (95.42 ± 17.73) ml, the difference was statistically significant (P0.05). The resection rate of tumor in observation group was 100.00 %) Was significantly higher than that of the control group (85.71%), the difference was statistically significant (P <0.05); the total incidence of complications (35.71%) in the control group was significantly higher than that of the observation group (10.71%), the difference was statistically significant (P <0.05). Conclusions Transurethral plasma bipolar resection of bladder urothelial carcinoma patients with better clinical results, shorter operative time, less trauma to patients, quick recovery after surgery, a high rate of resection, the incidence of postoperative complications than Low, high clinical value, it is worth promoting.