针状电极经尿道膀胱肿瘤精准电切治疗膀胱肿瘤的临床效果

Clinical effect of needle-shaped electrode transurethral resection for bladder tumor

目的探讨针状电极经尿道膀胱肿瘤精准电切治疗膀胱肿瘤的临床效果。方法选择宜春市人民医院泌尿外科2019年4月—2020年4月纳入的56例膀胱肿瘤患者,按随机数字表法分为对照组和观察组,各28例。对照组行传统等离子电切术,观察组行针状电极精准电切术。记录观察两组的肿瘤病理分期、围术期指征、并发症与肿瘤复发率。结果对照组肿瘤组织各分期枚数为Ta期18枚,T1期8枚,T2期1枚,T3期1枚,观察组的肿瘤组织各分期枚数为Ta期10枚,T1期5枚,T2期9枚、T3期4枚,二者比较,差异有统计学意义(P<0.05)。观察组的肿瘤切除耗时、置尿管时间、住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组的并发症总发生率低于对照组,肿瘤复发率低于对照组,差异有统计学意义(P<0.05)。结论针状电极精准电切术均可快速切除膀胱肿瘤患者的肿瘤,获得完整的肿瘤标本,并做出精确的病理分期,减少出血量,促进快速康复,减少并发症,降低肿瘤复发率。

Objective To explore the clinical efficacy of using needle-shaped electrodes to treat bladder tumors with precision transurethral bladder tumor resection.Methods A total of 56 patients with bladder tumors included in Department of Urology,Yichun People′s Hospital from July 2019 to July 2020 were selected and divided into a control group and an observation group according to the random number table method,with 28 cases in each group.The control group underwent traditional plasma resection,and the observation group underwent precision resection with needle electrodes.The tumor pathological stage,perioperative indexes,complications and recurrence rate of the two groups were recorded and observed.Results The number of tumor tissues in the control group was 18 in Ta stage,8 in T1 stage,1 in T2 stage and 1 in T3 stage.The number of tumor tissues in the observation group was 10 in Ta stage,5 in T1 stage,9 in T2 stage and 4 in T3 stage,and the differences were statistically significant(P<0.05).The tumor resection time,catheter time and hospitalization time of the observation group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the tumor recurrence rate was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Needle electrode precision resection can quickly remove tumors from patients with bladder tumors,obtain complete tumor specimens,and make accurate pathological staging,reduce bleeding,promote rapid recovery,reduce complications,and reduce tumor recurrence rate.