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目的观察中药归脾汤加减对膀胱肿瘤局部切除术后患者生存及复发率的影响。方法选择接受手术治疗的膀胱肿瘤患者136例,患者均行局部切除术,术后对照组给予抗感染及膀胱灌注化疗,治疗组在对照组治疗的基础上加用归脾汤加减,观察并统计术后2年、3年、5年的患者生存率及复发率。结果治疗组2年、3年、5年生存率均高于对照组,而复发率均低于对照组(均P<0.05),有显著性差异。结论膀胱肿瘤术后应用归脾肠加减,能够使患者的生存率明显提升,降低术后的复发率。
Objective To observe the effect of Chinese medicine Guipi Decoction on survival and recurrence rate after partial resection of bladder tumor. Methods Thirty-six patients with bladder cancer undergoing surgery were selected. All patients underwent local excision. The patients in the control group were given anti-infection and intravesical chemotherapy. The patients in the control group were treated with Guipi Decoction, Postoperative 2 years, 3 years, 5 years survival rate and recurrence rate. Results The 2-year, 3-year and 5-year survival rates of the treatment group were significantly higher than those of the control group, but the recurrence rates were lower than those of the control group (all P <0.05). Conclusion The application of bladder tumor to the spleen and intestine after surgery can significantly improve the survival rate of patients and reduce the recurrence rate.