腹腔镜与开放手术方式根治性膀胱切除术治疗膀胱癌临床效果对比分析  

Clinical Analysis of Laparoscopic and Open Radical Resection of Bladder in the Treatment of Bladder Cancer

作　　者：李亚县[1] 张凯忠[1] 梁育梅[1] 周立[1] 吴富广[1] 

机构地区：[1]南方医科大学附属茂名市人民医院泌尿外一科,广东茂名525000

出　　处：《现代诊断与治疗》2016年第22期4197-4199,共3页Modern Diagnosis and Treatment

摘　　要：目的探讨腹腔镜下根治性膀胱切除术对膀胱癌的临床疗效。方法选取我院收治的122例膀胱癌患者,依据手术方式分为对照组60例和观察组62例。对照组采用常规开放式根治性膀胱切除术,观察组采用腹腔镜下根治性膀胱切除术。对比两组术中及术后情况。结果两组手术时间比较无显著差异(P>0.05);观察组术中出血量、术后肠道功能恢复时间与住院时间均少于对照组(P<0.05);观察组并发症总发生率为16.13%,显著低于对照组的35.00%(P<0.05)。结论腹腔镜下根治性膀胱切除术,具有微创、并发症低等优点,可有效促进患者术后肠道功能恢复,缩短住院时间,值得临床推广应用。Objective To investigate the clinical effect of laparoscopic radical resection of bladder cancer. Methods 122 cases of bladder cancer in our hospital were grouped according to the operation method, and compared with the two groups. Results Group completed operation time difference little（P0.05）; observation group was the amount of bleeding, postoperative intestinal recovery time and hospital stay are far lower than those of the control group（P0.05）; observation group to complications of 16.13% of the total incidence was far less than that of the control group 35.00% higher（P0.05）. Conclusion Clinical be bladder cancer patients undergoing laparoscopic surgery, the minimally invasive surgery and complications low, could effectively promote the patients after intestinal resumed as soon as possible and hospitalization time shortened, the deep clinical value.

关 键 词：腹腔镜 开放手术 根治性膀胱切除术 膀胱癌 

分 类 号：R737.14[医药卫生—肿瘤]