205例膀胱白斑手术治疗方法对比分析

Comparison of surgical treatment for 205 cases of vesicle leukoplakia

目的:探讨治疗膀胱白斑的有效方法。方法:分析总结205例膀胱白斑患者的临床资料,将传统组治疗方法(经尿道膀胱电切至浅肌层,手术切除范围为病变的膀胱黏膜白斑,术后行膀胱灌注化疗)与对照组的治疗方法(经尿道膀胱电切至黏膜及黏膜下层,手术切除范围为病变的膀胱黏膜白斑并周围的2cm膀胱黏膜,术后不行膀胱灌注化疗)进行对比分析。结果:对照组治疗膀胱白斑在术后出血、疗效及复发率方面较传统组差异有统计学意义(P<0.05)。结论:膀胱黏膜电切法治疗膀胱白斑简单有效,术后可不必常规行膀胱灌注化疗。

Objective：To explore the therapeutic method of vesicle leukoplakia.Method：The clinical data of205patients and corresponding therapeutic method with vesicle leukoplakia were analyzed between the traditional group（transurethral electro-reseticon of bladder to superficial muscle layer,electro-resection range is confined to vesicle leukoplakia with intravesical chemotherapy postoperatively）and the contrast group（Transurethral electroreseticon of bladder to mucosa and submucosa,electro-reseticon range is confined to vesicle leukoplakia and surrounding 2cm bladder mucosa,without intravesical chemotherapy postoperatively）.Result：There was a significant diferrence between the traditional group and contrast group in postoperative bleeding,the degree of the symptom improvement and the recurrence rate（P〈0.05）.Conclusion：Transurethral electro-reseticon of bladder mucosa for vesicle leukoplakia is simple and effective.It is no necessary to administer intravesical chemotherapy postoperatively.