浅表性膀胱癌经尿道腔内手术治疗的适应证与疗效观察
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摘要
目的观察浅表性膀胱癌经尿道腔内手术治疗的适应证与疗效。方法随机选取我院2017年2月—2018年2月收治的浅表性膀胱癌患者88例作为研究对象。依照入院顺序,将其分成对照组和观察组,每组各44例。对照组行尿道膀胱肿瘤电切术,观察组行经尿道腔内激光切除手术,对比两组手术治疗效果。结果观察组患者手术时间及住院时间均少于对照组,组间数据结果对比,差异具有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,组间数据结果对比,差异具有统计学意义(P<0.05)。结论针对浅表性膀胱癌患者采用经尿道腔内激光切除手术治疗,可以更好地保证治疗的安全性,提高临床治疗效果,促进患者早日康复,本次研究结果可为临床治疗浅表性膀胱癌提供有效依据。
Objective To observe the indications and efficacy of transurethral endoscopic surgery for superficial bladder cancer. Methods 88 patients with superficial bladder cancer in our hospital from February 2017 to February 2018 were divided into the control group and the observation group, with 44 cases in each group according to the order of admission, the control group underwent transurethral resection of bladder tumor, the observation group underwent transurethral laser resection, treatment effect of the two groups were compared. Results The operative time and hospitalization time in the observation group were significantly less than those in the control group, the difference was statistically significant(P<0.05); And the incidence of postoperative complications in the observation group was significantly lower than that in the control group, the difference was statistically significant(P<0.05). Conclusion For patients with superficial bladder cancer, transurethral laser resection can effectively reduce the incidence of postoperative complications, improve the clinical effect and speed of recovery of patients.
Objective To observe the indications and efficacy of transurethral endoscopic surgery for superficial bladder cancer. Methods 88 patients with superficial bladder cancer in our hospital from February 2017 to February 2018 were divided into the control group and the observation group, with 44 cases in each group according to the order of admission, the control group underwent transurethral resection of bladder tumor, the observation group underwent transurethral laser resection, treatment effect of the two groups were compared. Results The operative time and hospitalization time in the observation group were significantly less than those in the control group, the difference was statistically significant(P<0.05); And the incidence of postoperative complications in the observation group was significantly lower than that in the control group, the difference was statistically significant(P<0.05). Conclusion For patients with superficial bladder cancer, transurethral laser resection can effectively reduce the incidence of postoperative complications, improve the clinical effect and speed of recovery of patients.
引文
[1]许东绍.经尿道电切术联合膀胱灌注治疗浅表性膀胱癌的疗效观察[J].医药前沿,2016,6(3):77-78.
[2]梁胜杰,邹青松,韩邦旻,等.新辅助动脉化疗在肌层浸润性大体积膀胱癌保留膀胱治疗中的价值[J].现代泌尿外科杂志,2014,19(8):517-520.
[3]朱文胜,谭毅,邹飞.经尿道电切术联合羟基喜树碱延长膀胱灌注治疗浅表性膀胱癌的疗效观察[J].中国现代药物应用,2016,10(8):20-21.
[4]刘书航,李树相.经尿道电切术治疗浅表性膀胱肿瘤的应用研究[J].临床医学,2015,35(12):9-11.
[5]杨小平,胡小保,黄海鹏.经尿道膀胱肿瘤电切术治疗浅表性膀胱癌疗效观察[J].淮海医药,2016,34(6):677-678.
[6]朱从义,丁见,齐琳,等.经尿道钬激光治疗浅表性膀胱癌[J].中华现代外科学杂志,2006,3(6):497-498.
[7]He Tao,Wang Yan,Zhao Wei,et al.Clinical observation of transurethral operation for the treatment of superficial bladder cancer and benign prostatic hyperplasia at the same time[J].Journal of Third Military Medical University,2016,40(1):76-77.
[8]徐会文.经尿道激光气化术治疗浅表性膀胱癌的疗效观察及安全性评估[J].现代泌尿外科杂志,2013,18(5):461-463.
[9]周鹏,曾春明,李羽佳.经尿道激光气化术治疗浅表性膀胱癌的疗效观察[J].现代诊断与治疗,2015,26(16):3720-3721.
[10]张军民,刘中生.经尿道膀胱肿瘤电切术和开放手术治疗膀胱肿瘤的疗效对比[J].河南外科学杂志,2007,(01):25-26.
[11]王艳科,唐黎明,谢辉忠.钬激光治疗浅表性膀胱癌的疗效[J].中国实用医刊,2011,38(13):24-25.
[12]Li Qi,Wang Dongwen.Indication and curative effect of transurethral endoscopic surgery for superficial bladder cancer[J].Chinese Journal of oncology,2017,7(6):68-69.
[2]梁胜杰,邹青松,韩邦旻,等.新辅助动脉化疗在肌层浸润性大体积膀胱癌保留膀胱治疗中的价值[J].现代泌尿外科杂志,2014,19(8):517-520.
[3]朱文胜,谭毅,邹飞.经尿道电切术联合羟基喜树碱延长膀胱灌注治疗浅表性膀胱癌的疗效观察[J].中国现代药物应用,2016,10(8):20-21.
[4]刘书航,李树相.经尿道电切术治疗浅表性膀胱肿瘤的应用研究[J].临床医学,2015,35(12):9-11.
[5]杨小平,胡小保,黄海鹏.经尿道膀胱肿瘤电切术治疗浅表性膀胱癌疗效观察[J].淮海医药,2016,34(6):677-678.
[6]朱从义,丁见,齐琳,等.经尿道钬激光治疗浅表性膀胱癌[J].中华现代外科学杂志,2006,3(6):497-498.
[7]He Tao,Wang Yan,Zhao Wei,et al.Clinical observation of transurethral operation for the treatment of superficial bladder cancer and benign prostatic hyperplasia at the same time[J].Journal of Third Military Medical University,2016,40(1):76-77.
[8]徐会文.经尿道激光气化术治疗浅表性膀胱癌的疗效观察及安全性评估[J].现代泌尿外科杂志,2013,18(5):461-463.
[9]周鹏,曾春明,李羽佳.经尿道激光气化术治疗浅表性膀胱癌的疗效观察[J].现代诊断与治疗,2015,26(16):3720-3721.
[10]张军民,刘中生.经尿道膀胱肿瘤电切术和开放手术治疗膀胱肿瘤的疗效对比[J].河南外科学杂志,2007,(01):25-26.
[11]王艳科,唐黎明,谢辉忠.钬激光治疗浅表性膀胱癌的疗效[J].中国实用医刊,2011,38(13):24-25.
[12]Li Qi,Wang Dongwen.Indication and curative effect of transurethral endoscopic surgery for superficial bladder cancer[J].Chinese Journal of oncology,2017,7(6):68-69.