新型等离子针状电极在膀胱癌整块切除手术中的应用效果及安全性分析

Application and safety analysis of a new type of plasma needle electrode in total resection of bladder cancer

目的 观察新型等离子针状电极在膀胱癌整块切除手术中的应用效果及安全性。方法 本研究为前瞻性研究,选择洛阳市东方人民医院2020年5月~2022年6月期间收治的90例膀胱癌患者为研究对象,以计算机随机分组法将其分为常规组和试验组,各45例。常规组实施经尿道膀胱肿瘤切除术(TURBT)治疗,试验组实施新型等离子针状电极精准切除术(ATUNER)治疗,所有患者术后开展为期1年随访,比较两组患者的手术情况、术后并发症发生情况、术后泌尿功能恢复情况及短期生存情况。结果 联合组的CRP、IL-6、IL-8,术后2周、4周的伤椎后凸角、Cobb角、ODI评分均低于手术组,JOA评分均高于手术组;联合组的住院时间、卧床时间、骨折愈合时间,术后并发症发生率均低于手术组(P<0.05)。结论 ATUNER能加快膀胱癌患者的术后康复进程,对降低术后并发症发生风险、促进膀胱功能恢复,并改善术后短期预后均有积极意义。

Objective To observe the efficacy and safety of a new type of plasma needle electrode in the whole resection of bladder cancer.Methods This study is a prospective study.90 patients with bladder cancer who were admitted from May 2020 to July 2022 were selected as the study subjects.They were randomly divided into the conventional group(45 cases)and the experimental group(45 cases)by computer.The conventional group was treated with TURBT,and the experimental group was treated with ATUNER.All patients were followed up for one year after surgery.The surgical conditions,postoperative complications,postoperative urinary function recovery and short-term survival.Results The CRP,IL-6,and IL-8 levels in the combined group were lower than those in the surgical group,and the posterior convexity angle,Cobb angle,and ODI scores at 2 and 4 weeks after surgery were all lower than those in the surgical group,while JOA scores were higher than those in the surgical group;The hospitalization time,bed rest time,fracture healing time,and postoperative complication rate of the combined group were all lower than those of the surgical group(P<0.05).Conclusion ATUNER can accelerate the postoperative rehabilitation process of patients with bladder cancer,reduce the risk of postoperative complications,promote the recovery of bladder function,and improve the short-term prognosis after surgery.