微创手术治疗膀胱癌合并膀胱结石的效果观察  

An observation of clinical efficacy of minimally invasive surgery in the treatment of bladder carcinoma with bladder calculi

作　　者：邹汉琦[1] 莫增密[1] 

机构地区：[1]中国人民解放军第三〇三医院泌尿外科,南宁530021

出　　处：《右江医学》2016年第6期668-670,共3页Chinese Youjiang Medical Journal

摘　　要：目的 探讨膀胱癌合并膀胱结石患者采用微创手术治疗的临床疗效。方法 选取2012年3月～2015年4月收治的74例膀胱癌合并膀胱结石患者,根据患者手术方式分为微创组（气压弹道联合电切镜,41例）和开腹组（传统开腹手术,33例）,比较两组患者手术时间、术中出血量、住院时间、治疗效果及并发症发生情况。结果 微创组患者术中出血量及住院时间均少于开腹组（P〈0.01）,治疗效果显著优于开腹组（P〈0.01）,感染、出血、发热发生率均低于开腹组（P〈0.05）。结论 微创手术治疗膀胱癌合并膀胱结石可减少患者创伤,提高治疗效果,降低并发症发生率。Objective To investigate the clinical efficacy of minimally invasive surgery in the treatment of bladder carcinoma with bladder calculi.Methods 74 cases of bladder carcinoma with bladder calculi admitted to hospital from March, 2012 to April, 2015 were selected.They were divided into minimally invasive group （pneumatic lithotripsy combined with resectoscope,41 cases） and laparotomy group （ traditional laparotomy, 33 cases） according to operation ways. And then, operation time, intraoperative blood losses ,hospitalization time, curative effects and complications were compared between the two groups.Results The amount of bleeding and hospitalization time in the minimally invasive group were less than those of the laparotomy group （P〈0.01）, and curative effect was significantly better than that of the laparotomy group （P〈0.O1）. In addition, the incidence of infection, bleeding and fever in the minimally invasive group were lower than those in the laparotomy group（P〈0.05） .Conclusion Minimally invasive surgery in the treatment of bladder carcinoma combined with bladder calculi can reduce trauma, improve treatment effect and reduce the incidence of complications.

关 键 词：膀胱癌 膀胱结石 微创手术 传统手术 

分 类 号：R699.5[医药卫生—泌尿科学] R737.14[医药卫生—外科学]