论文部分内容阅读
目的分析对比经尿道钬激光切除术与电切治疗膀胱癌的临床效果与安全性,为临床治疗提供相关依据。方法 54例膀胱癌患者随机分为观察组与对照组,各27例。观察组行经尿道钬激光切除术,对照组行尿道电切手术,分析对比两组患者的手术时间、术中出血量以及并发症的发生情况等。结果两组患者的手术时间比较差异无统计学意义(P>0.05);观察组患者的术中出血量以及闭孔神经反射率等指标要优于对照组患者,差异有统计学意义(P<0.05)。结论经尿道钬激光切除术与电切手术治疗膀胱癌在手术时间上没有显著差异,但是使用经尿道钬激光切除术相对于尿道电切手术更加安全,能够减少术中出血量和穿孔的发生率,具有更好的推广价值。
Objective To analyze the clinical effects and safety of transurethral holmium laser resection and electrotomy in the treatment of bladder cancer and provide the basis for clinical treatment. Methods 54 cases of bladder cancer were randomly divided into observation group and control group, 27 cases in each. The observation group underwent holmium laser resection of the urethra and the control group underwent urethral resection. The operation time, intraoperative blood loss and complications were compared between the two groups. Results There was no significant difference in operative time between the two groups (P> 0.05). The intraoperative blood loss and obturator nerve reflex in the observation group were superior to those in the control group (P < 0.05). Conclusions There is no significant difference in operative time between transurethral holmium laser surgery and resection of bladder cancer, but the use of transurethral holmium laser resection is more safe than urethral resection, which can reduce the incidence of intraoperative bleeding and perforation , With better promotion value.