经尿道膀胱肿瘤电切术与等离子切除术对比研究

目的:比较经尿道膀胱肿瘤等离子切除术(PKRBT)和经尿道膀胱肿瘤电切术(TURBT)治疗膀胱肿瘤的效果。方法:对90例患者随机分为TURBT组50例和PKRBT组40例,对两组患者手术时间、失血量、一年内复发情况进行统计分析。结果:PKRBT组手术时间(24.5±10.2)、术中失血(40±21)ml,一年内复发率为2.50%;TURBT组手术时间为(25.9±9.0)、手术中失血为(48±25)、一年内的复发率为4.00%。两组患者经过比较无统计学意义。结论:PKRBT是一种比较安全有效的手术,反复使用生理盐水冲洗安全性较高,在低温下切割,创面没有焦伽;切割比较精确,具有良好的止血效果。

Objective effect on the treatment of bladder tumors after resection of urinary bladder tumor and plasma (PKRBT) and transurethral bladder tumor transurethral surgery (TURBT). Methods: 90 patients from our hospital from February 2009 to January 2011, were randomly divided into two groups--TURBT combination PKRBT group in which the the TURBT group of 50 patients, tumor diameter (20 ± 6) mm; T132 cases, T218, G130 cases, G220 cases; 20 cases of patients with multiple tumors, tumors of the bladder wall of 19 patients. PKRBT group of 40 patients, tumor diameter (17 ± 9) mm, T122 cases, T218, G120, G220; including 17 patients with multiple tumors, tumors of 15 patients with bladder wall. Surgery patients, operative time, blood loss, whether it occurred the obturator reflex recurrence within two years after surgery for statistical analysis. Results: The patients in the surgery, no cases of transfusion and complications T132, T218 cases, G130 Example, G220, cases; including 20 patients with multiple tumors, tumors of 19 patients with bladder wall. Operative time (24.5 ± 10.2), PKRBT group intraoperative blood loss (40 ± 21) ml, the recurrence rate was 40% in two years. TURBT group operative time (25.9 ± 9.0), blood loss during surgery (48 ± 25), the recurrence rate was 38% within two years. The two groups were not statistically significant by comparison. Conclusion: PKRBT is a relatively safe and effective surgery repeated, using saline flushing high security at a low temperature cutting, the wound no naphthalene gamma; cutting more accurate, has a good hemostatic effect.