论文部分内容阅读
目的观察经尿道等离子柱状电极膀胱肿瘤剜除术治疗非肌层浸润性膀胱癌(NMIBC)的临床疗效和安全性。方法选取2013年9月~2015年9月在我院进行手术治疗的符合纳入条件的非肌层浸润性膀胱肿瘤患者189例,按照手术方法不同随机分为观察组与对照组,观察组94例,对照组95例。观察组采用经尿道等离子柱状电极膀胱肿瘤剜除术式,对照组采用经尿道膀胱肿瘤电切术式,对比两组患者手术时间、术中出血量、膀胱冲洗时间、住院时间、并发症及1年累计复发率。结果两组手术时间无明显统计学差异(P>0.05),但术中出血量、膀胱冲洗时间、住院时间、并发症发生率及1年累计复发率均低于对照组,差异均有统计学意义(P<0.05)。结论经尿道等离子柱状电极治疗非肌层浸润性膀胱癌疗效显著,安全可靠,值得临床推广应用。
Objective To observe the clinical efficacy and safety of transurethral plasma columnar electrode tumor resection for non-muscle invasive bladder cancer (NMIBC). Methods A total of 189 patients with non-muscle invasive bladder cancer undergoing surgical treatment in our hospital from September 2013 to September 2015 were randomly divided into observation group and control group according to different surgical methods. The observation group included 94 cases , Control group of 95 cases. The observation group was treated by transurethral resection of plasma columnar bladder tumor and the control group was treated by transurethral resection of bladder tumor. The operation time, intraoperative blood loss, bladder irrigation time, hospitalization time, complication and 1 Annual cumulative recurrence rate. Results There was no significant difference between the two groups in operation time (P> 0.05), but the intraoperative blood loss, bladder irrigation time, hospital stay, complications and 1-year cumulative recurrence rate were lower than the control group, the difference was statistically Significance (P <0.05). Conclusion Transurethral plasma columnar electrodes for the treatment of non-muscle invasive bladder cancer with significant effect, safe and reliable, worthy of clinical application.