经尿道膀胱肿瘤电切术对膀胱癌患者机体应激及预后的影响

Effects of Transurethral Resection of Bladder Tumor on Body Stress and prognosis in patients with Bladder Cancer

目的分析经尿道膀胱肿瘤电切术(TURBT)对膀胱癌患者机体应激及预后的影响。方法选取我院收治的膀胱癌患者84例为研究对象,依据手术方式不同将其分为观察组(44例,行TURBT术)和对照组(40例,行开放手术),记录两组手术一般情况、机体应激反应指标变化及预后。结果观察组手术时间、住院时间、导尿管留置时间较对照组短,术中出血量低于对照组(P<0.05);观察组术后E、NE、Cor水平明显低于对照组(P<0.05);观察组术后复发率6.82%、并发症发生率4.55%低于对照组22.50%、20.00%(P<0.05)。结论TURBT术应用于膀胱癌中,有康复快、出血量少、应激反应小及预后更好、并发症发生率低等优势,值得在临床中推广实践。

Objective To analyze the effects of transurethral resection of bladder tumor(TURBT)on the body stress and prognosis in patients with bladder cancer.Methods 84 patients with bladder cancer admitted to our hospital were selected for the study and were divided into observation group(44 cases,given TURBT)and control group(40 cases,givenopen surgery).The general surgeryconditions,body stress response indicators and prognosis were recorded in the two groups.Results The operative time,hospital stay and catheter indwelling time in observation group were shorter than those in control group,and the intraoperative blood loss was lower than that in control group(P<0.05).The levels of E,NE and Cor in observation group after operation were significantly lower than those in control group(P<0.05).The postoperative recurrence rate and incidence rate of complications in observation group were lower than those in control group(6.82%vs 22.50%,4.55%vs 20.00%)(P<0.05).Conclusion TURBT has the advantages of rapid recovery,little bleeding,little stress response,good prognosis and low incidence rate of complications in bladder cancer,and it is worthy of clinical promotion and practice.