摘要
目的:探讨经尿道汽化电切术治疗浅表性膀胱肿瘤的临床疗效。方法:选择我院2009-2011年间行经尿道汽化电切术治疗浅表性膀胱肿瘤患者64例(观察组),另选行传统保留膀胱外科手术治疗患者64例(对照组),观察两组临床疗效的差异。结果:观察组手术成功率为100%,高于对照组的74%,术后观察组不良反应发生率为3.1%,低于对照组的29.7%,组间比较手术成功率以及不良反应发生率差异具有统计学意义(P<0.05),观察组手术时间为21.4～66.5min,出血量为15.4～107.2ml,平均手术时间和出血量均低于对照组,组间差异具有统计学意义(P<0.05)。术后随访10～24个月,观察组3例患者出现复发(4.7%),对照组16例复发(25.0%),两组复发率之间差异具有统计学意义(P<0.05)。结论:经尿道电切术治疗浅表性膀胱肿瘤临床疗效好,具有损伤小、术后不良反应少、恢复快、复发率低等特点,值得临床进一步推广使用。
Objective：To study clinical effect of transurethral electrovaparization for superficial bladder tumor.Methods：64 patients with superficial bladder tumor who were treated by transurethral electrovaparization were selected in our hospital from 2009 to 2011,another 64 patients who were treated by surgical operation were selected,compared clinical effect of the two groups.Results：The observation group operation success rate was 100%,higher than control group 74%,postoperative observation of adverse reactions occur at a rate of 3.1%,lower than control group 29.7%,success rate and adverse reactions had a significant difference（P0.05）,in observation group operation time was 21.4~66.5min,bleeding volume was 15.4~107.2ml,average operation time and bleeding volume were lower than the control group,the difference between groups was statistically significant（P 0.05）.Patients were followed up for 10~24 months,in the observation group 3 cases recurred（4.7%）,16 cases of recurrence（25%） in control group,the differences of recurrence rate between two group was statistical significance（P0.05）.Conclusion：Transurethral electrovaparization for superficial bladder tumor has good clinical effect,and less injury,less postoperative adverse reaction,quick recovery and lower recurrence rate,so worthy of further clinical using.
出处
《医学理论与实践》
2012年第6期633-634,共2页
The Journal of Medical Theory and Practice
