经尿道电切术治疗浅表性膀胱肿瘤患者23例疗效评价.docVIP

精品论文 参考文献 经尿道电切术治疗浅表性膀胱肿瘤患者23例疗效评价 李述剑 　　（绵竹市土门镇卫生院 四川 德阳 618217） 　　【摘要】目的：观察分析经尿道电切术治疗浅表性膀胱肿瘤患者的方式与效果。方法：选取我院收治的46例浅表性膀胱肿瘤患者作为临床治疗对象，采用随机数字分组法均分为对照组予以观察组，对照组予以传统术式治疗，观察组予以经尿道电切术治疗，对比2组手术用时、置管用时、恢复时间、术中出血量、并发症发生率。结果：观察组平均手术用时（42.3plusmn;4.2）min，平均术中出血量（41.3plusmn;2.2）ml，两项指标显著优于同期对照组患者（P＜0.05）。且观察组术后平均置管时间（4.1plusmn;1.7）d，恢复时间（7.1plusmn;2.1）d，也均短于对照组（P＜0.05）。术后并发症情况对比，观察组未见闭孔神经发射、膀胱穿孔、术后大出血、病情复发患者，并发症率相应低于对照组（P＜0.05）。结论：经尿道电切术治疗浅表性膀胱肿瘤患者，可有效缩短患者手术用时及术后恢复时间、置管时间，减少出血量同时，防控并发症发生，具有着较好治疗安全性，值得作为浅表性膀胱肿瘤首选疗法。 　　【关键词】经尿道电切术；浅表性膀胱肿瘤；治疗效果；分析 　　【中图分类号】R730.56 【文献标识码】A 【文章编号】2095-1752（2016）22-0028-02 　　Transurethral electric cutting treatment of 23 patients with superficial bladder tumor curative effect evaluation Li Shujian. 　　Tumen Town Hospitalof Mianzhu City, Sichuan Province, Deyang 618217, China 　　【Abstract】Objective To analyze the transurethral electric cut operation way and the effect for the treatment of superficial bladder tumor patients. Methods Select our hospital of 46 cases of superficial bladder tumor patients as treatment object, compare the two groups surgery, it worked, recovery time, intraoperative blood loss and complication rates. Results Observation group average operation time (42.3plusmn;4.2) min, the average intraoperative blood loss (41.3plusmn;2.2) ml, two index was significantly better than the same period in the control group patients (P lt; 0.05). And postoperative observation group the average insertion time (4.1plusmn;1.7) d, recovery time (7.1plusmn;2.1) d, also are shorter than the control group (Plt;0.05), complication rate is lower than corresponding control group (Plt;0.05). Conclusion Transurethral electric cut method in the treatment of superficial bladder tumor patients, which can effectively shorten, is worth as a superficial bladder tumor therapy. 　　【Key words】Transurethral electric method; Superficial bladder tumor; Treatment Analysis 　　中老年男性群体是膀胱肿瘤高发人群，具体发病机制复杂，可因吸烟、酗酒等生活因素及膀胱粘膜刺激、芳香类物质直接接触等多