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目的探讨经尿道电切术在浅表性膀胱肿瘤中的应用效果及价值。方法回顾性分析天津市西青医院2010年3月至2015年2月收治的60例浅表性膀胱肿瘤患者的临床病例资料,以治疗方式不同分为对照组(膀胱部分切除术)和观察组(经尿道膀胱肿瘤电切术),每组30例,观察术中出血量、手术时间、导尿时间、住院时间以及术后并发症、复发率等。结果观察组手术时间、导尿时间、住院时间明显短于对照组(P<0.01),且术中出血量低于对照组(P<0.01),术后并发症发生率低于对照组(P<0.05),差异均有统计学意义。两组复发率比较差异未见统计学意义(P>0.05)。结论在对浅表性膀胱癌患者进行治疗的过程中,选择采用经尿道膀胱肿瘤切除术治疗能够显著提升治疗效果,减少术中出血量;与开腹手术比较术后复发率无明显差异,且微创手术患者术后恢复更快,值得临床推广应用。
Objective To investigate the effect and value of transurethral resection in superficial bladder tumor. Methods The clinical data of 60 patients with superficial bladder tumor who were treated in Xiqing Hospital of Tianjin from March 2010 to February 2015 were retrospectively analyzed. The treatment groups were divided into control group (partial mastectomy) and observation group (Transurethral resection of bladder tumor), 30 cases in each group. The intraoperative blood loss, operation time, catheterization time, hospitalization time, postoperative complications and recurrence rate were observed. Results The operation time, catheterization time and hospital stay in the observation group were significantly shorter than those in the control group (P <0.01), and the intraoperative blood loss was lower than that in the control group (P <0.01). The incidence of postoperative complications was lower than that in the control group <0.05), the differences were statistically significant. There was no significant difference between the two groups (P> 0.05). Conclusion In the treatment of superficial bladder cancer patients, the treatment of transurethral bladder tumor resection can significantly improve the therapeutic effect and reduce the amount of intraoperative blood loss; compared with open surgery, the recurrence rate after surgery was not significantly different, and Minimally invasive surgery patients recover faster, it is worthy of clinical promotion and application.