膀胱切除术不同手术时机效果分析

Analysis of the Timing of Different Surgical Procedures for Cystectomy

目的探讨不同手术时机膀胱切除术的应用效果及对患者SIL-2R水平的影响。方法选取我院在2016年5月—2017年5月收治的99例接受膀胱切除术治疗的患者作为研究对象。按照不同疾病分期进行分组,T1期30例、T2期30例、T3期30例、T4期9例。结果T1期、T2期、T3期、T4期手术疗效比较,差异具有统计学意义(P<0.05);术前,四组患者的sIL-2R水平比较,差异无统计学意义(P>0.05),手术后T1、T2、T3、T4期患者sIL-2R水平,均低于手术前(P<0.05);术后T1与T2、T3、T4期sIL-2R的水平比较,差异无统计学意义(P>0.05);术后T3、T4期患者术后sIL-2R水平,高于T1与T2期(P<0.05)。结论在针对膀胱癌的治疗过程中,接受膀胱切除术治疗的时间越早,患者治疗效果越好,预后情况越好。

Objective To investigate the effect of different surgical timing and the effect of SIL-2R on patients. Methods A total of 99 patients who underwent cystectomy in our hospital from May 2016 to May 2017 were selected as the study subjects. According to different disease stages, they were divided into 30 cases in T1 stage, 30 cases in T2 stage, 30 cases in T3 stage and 9 cases in T4 stage. Results The curative effect of stage T1 was higher than that of stage T4, T2 and T3 (P < 0.05). There was no significant difference in the level of sIL-2R between the four groups before operation (P > 0.05). The levels of sIL-2R in patients with stage T1, T2, T3 and T4 after operation were lower than those before operation (P < 0.05). There was no significant difference in the levels of sIL-2R between T1 and T2, T3 and T4 (P > 0.05). The levels of sIL-2R after T3 and T4 were higher than those of T1 and T2 (P < 0.05). Conclusion In the treatment of bladder cancer, the earlier the treatment with cystectomy, the better the treatment effect and the better the prognosis.