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目的:探讨采用经尿道等离子电切术治疗非肌层浸润性膀胱癌的手术效果。方法:抽取2016年1月至2019年6月太原钢铁(集团)有限公司总医院收治的非肌层浸润性膀胱癌患者76例,分别采用经尿道等离子电切术(观察组,46例)和传统经尿道电切术(对照组,30例)进行治疗。以手术情况、术后复发情况等作为指标,评估两种术式的治疗价值差异。结果:观察组术中出血量为(31.5±12.9)ml,少于对照组的(41.7±18.4)ml (n P<0.05);观察组手术时间、术后尿管留置时间、住院时间分别为(34.9±11.7)min、(4.1±0.9)d、(4.4±1.3)d,均短于对照组的(44.8±13.4)min、(4.7±0.7)d、(5.2±1.7)d,n P0.05)。但观察组患者术中闭孔神经反射发生率(8.70%,4/46)低于对照组(26.67%,8/30),n P0.05)。n 结论:采用经尿道等离子电切术治疗非肌层浸润性膀胱癌,有利于减轻手术创伤,提高手术切除效果,对减轻患者痛苦、促进其术后康复具有十分积极的作用。“,”Objective:To investigate the clinical effect of transurethral plasma electrocision on non-muscle invasive bladder cancer.Methods:A total of 76 patients with non-muscule invasive bladder cancer admitted to General Hospital of Taiyuan Iron and Steel (Group) Co., Ltd. from January 2016 to June 2019 were selected. Forty-six patients were treated by transurethral plasma electrocision (observation group), and 30 patients were treated by traditional transurethral resection (control group). The surgical status and postoperative recurrence were used as indicators to evaluate the difference in the therapeutic value of the two surgical methods.Results:The intraoperative blood loss in the observation group was (31.5±12.9)ml, less than the (41.7±18.4)ml in the control group (n P<0.05). The operation time, indwelling time of urinary catheter, and hospital stay in the observation group were (34.9±11.7)min, (4.1±0.9)d, (4.4±1.3)d, respectively, which were shorter than (44.8±13.4)min, (4.7±0.7)d, (5.2±1.7)d in the control group (n P0.05). But the incidence of obturator nerve reflex in the observation group (8.70%, 4/46) was significantly lower than that in the control group (26.67%, 8/30),n P0.05.n Conclusions:Transurethral plasma electrocision for non-muscle invasive bladder cancer is helpful to reduce surgical trauma, and improve the effect of surgical resection. It has a very positive role in reducing patient pain and promoting postoperative recovery.