经尿道膀胱肿瘤等离子整块切除术的临床应用效果观察

Clinical application of transurethral resection of bladder tumors

目的:观察经尿道膀胱肿瘤等离子整块切除术的临床应用效果。方法:采用随机数字表法将58例膀胱肿瘤患者分为采取经尿道膀胱肿瘤等离子整块切除术治疗的观察组及采取经尿道膀胱肿瘤电切术治疗的对照组,每组各29例,对两组临床治疗效果进行对比。结果:观察组手术时间、术中出血量、膀胱冲洗时间、导管留置时间、肉眼血尿时间及住院时间等围手术期指标较同期对照组更佳,差异有统计学意义(P<0.05);术前两组尿流动力学差异无明显统计学意义(P>0.05),术后观察组均优于对照组,差异有统计学意义(P<0.05);观察组并发症发生率较对照组更低,差异有统计学意义(P<0.05)。结论:经尿道膀胱肿瘤等离子整块切除术取得的临床疗效确切,值得推广。

Objective To observe the clinical effect of transurethral plasma-monectomy for bladder tumor.Method 58 patients with bladder tumors were divided into 29 patients who were treated with transurethral cystectomy and 29 patients who were treated with transurethral cystectomy.The results of two groups of clinical treatment were compared.Results The perioperative period index of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in urodynamics between the two groups before operation(P>0.05),and the observation group was superior to the control group(P<0.05).The incidence of complications in the observation group was lower than in the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical curative effect of transurethral plasma-monolithic resection of bladder tumor is accurate and worthy of popularization.