腹腔镜下根治性膀胱切除术用于膀胱癌治疗中的优势分析
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摘要
目的探讨腹腔镜下根治性膀胱切除术用于膀胱癌治疗中的优势。方法采用随机数字表法将我院收治的膀胱癌患者63例分为对照组与观察组,对照组32例给予常规开放式手术治疗,观察组31例给予腹腔镜下根治性膀胱切除术治疗,观察两组手术情况及术后并发症。结果观察组手术时间与对照组比较,无明显差异(P> 0.05);观察组术中出血量明显少于对照组,且术后进食时间和住院时间明显短于对照组(P<0.05);观察组总并发症发生率9.68%,对照组为34.38%,组间比较,差异具有统计学意义(P<0.05)。结论腹腔镜下根治性膀胱切除术用于膀胱癌治疗中具有创伤小、并发症少、术后恢复快等诸多优势,适合广泛用于临床。
Objective To investigate the advantages of laparoscopic radical cystectomy for the treatment of bladder cancer.The Methods Used random number table method to divide 63 patients with bladder cancer admitted to our hospital into control group and observation group.In the control group,32 patients underwent routine open surgery.31 patients in the observation group were treated with laparoscopic radical cystectomy.The operation and postoperative complications were observed.Results There was no significant difference between the observation group and the control group(P> 0.05).The intraoperative blood loss was significantly lower in the observation group than in the control group,and the postoperative feeding time and hospitalization time were significantly shorter than the control group(P< 0.05).The total complication rate was 9.68% in the observation group and 34.38% in the control group.The difference was statistically significant(P< 0.05).Conclusion Laparoscopic radical cystectomy for bladder cancer treatment has many advantages such as less trauma,less complications and quick recovery after surgery.It is suitable for clinical use.
Objective To investigate the advantages of laparoscopic radical cystectomy for the treatment of bladder cancer.The Methods Used random number table method to divide 63 patients with bladder cancer admitted to our hospital into control group and observation group.In the control group,32 patients underwent routine open surgery.31 patients in the observation group were treated with laparoscopic radical cystectomy.The operation and postoperative complications were observed.Results There was no significant difference between the observation group and the control group(P> 0.05).The intraoperative blood loss was significantly lower in the observation group than in the control group,and the postoperative feeding time and hospitalization time were significantly shorter than the control group(P< 0.05).The total complication rate was 9.68% in the observation group and 34.38% in the control group.The difference was statistically significant(P< 0.05).Conclusion Laparoscopic radical cystectomy for bladder cancer treatment has many advantages such as less trauma,less complications and quick recovery after surgery.It is suitable for clinical use.
引文
[1]郭志全.研究腹腔镜下根治性膀胱切除术治疗膀胱癌的临床效果[J].中国继续医学教育,2016,8(19):103-104.
[2]宋哲,周治军,徐康,等.腹腔镜下根治性膀胱切除术治疗膀胱癌的疗效及对患者血清IL-6及IFN-γ水平的影响[J].现代生物医学进展,2017,17(21):4100-4103.
[3]白云金,杨玉帛,韩平,等.腹腔镜与开放性根治性膀胱切除术治疗老年膀胱癌短期疗效对比研究[J].现代泌尿外科杂志,2016,21(2):87-90.
[4]刘卫华,邓红琴,吴振启.膀胱癌不同TNM分期对根治性膀胱切除术患者预后的影响[J].现代肿瘤医学,2016,24(20):3240-3243.
[5]王晓东,王元林,石华,等.腹腔镜与开放手术方式根治性膀胱切除术治疗膀胱癌的临床研究[J].中国内镜杂志,2016,22(2):42-45.
[6]吴岑,苏仲宁,伍伯聪,等.腹腔镜根治性全膀胱切除+原位回肠新膀胱术对膀胱癌患者的临床疗效及并发症分析[J].国际泌尿系统杂志,2016,36(4):481-484.
[7]师宏斌,于家兴,于见修,等.腹腔镜下根治性膀胱切除术治疗老年膀胱癌的疗效及术后并发症[J].中国老年学,2016,36(19):4788-4789.
[2]宋哲,周治军,徐康,等.腹腔镜下根治性膀胱切除术治疗膀胱癌的疗效及对患者血清IL-6及IFN-γ水平的影响[J].现代生物医学进展,2017,17(21):4100-4103.
[3]白云金,杨玉帛,韩平,等.腹腔镜与开放性根治性膀胱切除术治疗老年膀胱癌短期疗效对比研究[J].现代泌尿外科杂志,2016,21(2):87-90.
[4]刘卫华,邓红琴,吴振启.膀胱癌不同TNM分期对根治性膀胱切除术患者预后的影响[J].现代肿瘤医学,2016,24(20):3240-3243.
[5]王晓东,王元林,石华,等.腹腔镜与开放手术方式根治性膀胱切除术治疗膀胱癌的临床研究[J].中国内镜杂志,2016,22(2):42-45.
[6]吴岑,苏仲宁,伍伯聪,等.腹腔镜根治性全膀胱切除+原位回肠新膀胱术对膀胱癌患者的临床疗效及并发症分析[J].国际泌尿系统杂志,2016,36(4):481-484.
[7]师宏斌,于家兴,于见修,等.腹腔镜下根治性膀胱切除术治疗老年膀胱癌的疗效及术后并发症[J].中国老年学,2016,36(19):4788-4789.