TURBt治疗高危高龄浸润性膀胱癌临床观察.docVIP

TURBt治疗高危高龄浸润性膀胱癌临床观察 　　[摘要]目的 观察TURBt治疗高龄浸润性膀胱癌的临床效果。方法 选取我院2010年8月～2016年7月收治的的45例高龄浸润性膀胱癌患者，将其分为两组。对照组（22例）患者实施常规治疗，观察组（23例）患者实施TURBt治疗。比较两组患者治疗后的总并发症发生率、手术时间、术中出血量、住院时间。结果 观察组患者的总并发症发生率为8.70%，低于对照组的40.91%（P0.05），手术时间为（51.45±1.18）min，住院时间为（9.36±1.08）d，短于对照组的（65.34±1.17）min、（15.45±0.27）d，术中出血量为（105.45±10.11）ml，少于对照组的（129.78±12.45）ml（P0.05）。结论 对高龄浸润性膀胱癌患者实施TURBt治疗，能取得十分显著的效果，能延长患者的生命，值得临床进一步推广和应用。 　　[关键词]TURBt；高龄浸润性膀胱癌；临床效果 　　[中图分类号] R737.14 [文献标识码] A [文章编号] 1674-4721（2017）11（b）-0059-03 　　[Abstract]Objective To observe the clinical effect of TURBt in the treatment of invasive bladder cancer at advanced age.Methods From August 2010 to July 2016，45 elderly patients with invasive bladder cancer treated in our hospital were enrolled and divided into the two groups.In the control group （n=22），patients were provided with routine treatment，while in the observation group （n=23），they were treated with TURBt.The total incidence of complications，operation time，intraoperative blood loss，and hospital stay were compared between the two groups.Results The total incidence of complications of the observation group was 8.70%，which was lower than that of the control group （40.91%） （P0.05），the operation time was （51.45±1.18） min，the hospital stay was （9.36±1.08） d，which was shouter than those of the control group [（65.34±1.17） min，（15.45±0.27） d] respectively，and intraoperative amount of bleeding was （105.45±10.11） ml was fewer than that of the control group [（129.78±12.45） ml] （P0.05）.Conclusion For elderly patients with invasive bladder cancer，application of TURBt can obtain a remarkable effect and prolong these patients′ life，which is worthy of further promotion and application in clinic. 　　[Key words]TURBt；Invasive bladder cancer at advanced age；Clinical effect 　　近年?恚?高龄浸润性膀胱癌发病率不断增高，由于多数老年患者伴有多种基础疾病，而实施一种有效的手术治疗方式十分重要，不仅能保障老年患者健康、还能促进患者恢复[1-2]。经尿道膀胱肿瘤切除术（TURBt）和常规手术为临床上常见的手术方式，但有研究显示，多数患者实施常规手术治疗后，未取得显著效果，而进行TURBt具有多种优势，为探讨手术方式的有效性，本研究选取我院收治的45例高龄浸润性膀胱癌患者作为研究对象，分别实施不同手术，现报道