经尿道膀胱肿瘤等离子切除术与电切术的对比研究  

Contrastive Research in TURBT and PKRBT

作　　者：肖茂林[1] 刘士贵[1] 张峻[1] 

机构地区：[1]广西柳州市中医院,广西柳州545001

出　　处：《中国医学创新》2013年第2期27-28,共2页Medical Innovation of China

摘　　要：目的:比较经尿道膀胱肿瘤电切术(TURBT)和经尿道膀胱肿瘤等离子切除术(PKRBT)治疗膀胱肿瘤的疗效。方法:将126例膀胱肿瘤患者分成观察组和对照组各63例,分别给予PKRBT和TURBT治疗,观察两组手术时间、平均住院时间、肉眼血尿时间、膀胱冲洗时间、尿管留置时间和并发症发生率、2年内复发率、闭孔神经发生率。结果:观察组平均住院时间、肉眼血尿时间、膀胱冲洗时间、尿管留置时间均较对照组短(P<0.05);观察组并发症发生率、2年内复发率、闭孔神经发生率均明显低于对照组(P<0.05)。结论:PKRBT治疗膀胱肿瘤弥补了TURBT术式的不足,疗效优于TURBT。Objective：To contrast the efficacy of TURBT and PKRBT on the treatment of bladder tumor.Method： 126 cases of bladder tumor are divided into the observation group and the control group （ each with 63 cases ）, treated with PKRBT and TURBT respectively.Observations are carried out about both groups＇operation time, average LOS, time of macroscopic hematuria, time of bladder washing, time of catheter indwelling, complication rate, recurrence rate within 2 years and obturator nerve.Result： As for the observation group, its average LOS, time of macroscopic hematuria, time of bladder washing, time of catheter indwelling were shorter than those of the control group （ P〈0.05 ）, and its complication rate, recurrence rate within 2 years and obturator nerve incidence were all significantly lower than those of the control group （ P〈0.05 ） .Conclusion： As for the treatment of bladder tumor, PKRBT can make up the deficiency of TURBT, and has better efficacy than TURBT.

关 键 词：膀胱肿瘤 经尿道膀胱肿瘤电切术 经尿道膀胱肿瘤等离子切除术 

分 类 号：R737.14[医药卫生—肿瘤]