两种方法在根治性膀胱切除术中临床效果及术后早期并发症的临床研究

Clinical Research of the Effect and Early Postoperative Complications of Two Kinds of Radical Cystectomy

目的探讨不同方法在根治性膀胱切除术中的临床效果,并对其术后早期并发症情况进行研究。方法整群选择2010年5月—2015年5月在该院行根治性膀胱切除术的患者108例,按照随机对照原则分为A、B两组,每组各54例,A组患者行常规开放式根治性膀胱癌切除术,B组患者行腹腔镜下根治性膀胱切除术,对两组患者的术中及术后情况进行观察,并对其早期并发症发生情况进行统计。结果 B组患者的手术时间、术中出血量及住院时间均显著低于A组(P<0.05),且B组患者的早期并发症发生率显著低于A组(P<0.05)。结论腹腔镜下根治性膀胱切除术治疗膀胱癌能够显著改善患者的术中及术后情况,且能使术后早期并发症发生率下降。

Objective To explore the clinical effect and early postoperative complications of different methods of radical cystectomy. Methods 108 cases underwent radical cystectomy in our hospital from May 2010 to May 2015 were selected and divided into group A and group B in accordance with randomized controlled principle with 54 cases in each. Patients in group A were treated by open radical cystectomy, while those in group B were treated by laparoscopic radical cystectomy.The intraoperative and postoperative status was observed and the incidence of early complications was counted in both groups. Results Compared with group A, group B had much shorter duration of operation, much less intraoperative blood loss and significantly shorter length of stay(P<0.05), and much lower incidence of early postoperative complications(P<0.05).Conclusion For patients with bladder cancer, laparoscopic radical cystectomy can significantly improve the intraoperative and postoperative conditions and decrease the incidence of early postoperative complications.