腹腔镜与开放手术方式根治性膀胱切除术治疗膀胱癌的临床研究  

The clinical study of laparoscopic radical cystectomy for bladder cancer

作　　者：王宁华[1] 董锐[1] 袁静 刘钰[1] 刘飞[1] Wang Ninghua;Dong Rui;Yuan Jing;Liu Yu;Liu Fei(Wuhan University of Science and Technology Affiliated Hanyang Hospital,Wuhan,Hubei, 430050,Chin)

机构地区：[1]武汉科技大学附属汉阳医院,湖北武汉430050

出　　处：《当代医学》2018年第15期82-83,共2页Contemporary Medicine

摘　　要：目的对比分析腹腔镜与开放手术方式根治性膀胱切除术治疗膀胱癌的临床效果。方法选取91例膀胱癌患者进行研究,并将随机分为两组,其中,对照组45例患者,施行开放手术方式根治性膀胱切除术治疗,观察组46例患者,施行腹腔镜手术治疗。回顾性分析所有患者的病例资料,观察比较两种手术方式在治疗过程中的效果。结果观察组患者的手术时间、术中出血量、住院时间、并发症发生率等都要少于对照组患者,组间比较差异有统计学意义(P<0.05)。结论腹腔镜手术治疗膀胱癌,可有效减少患者手术时间、术中出血量及住院时间,降低并发症发生率。且安全性高,治疗效果显著,值得临床推广应用。Objective To compare the clinical effect of laparoscopic radical cystectomy for bladder cancer. Methods Select 91 cases of patients with bladder cancer, and will be randomly divided into two groups, the control group, 45 patients treatment, open surgery way radical cystectomy group, 46 patients of laparoscopic surgery treatment. The clinical data of all patients were retrospectively analyzed, and the effect of the two surgical methods in the treatment was observed. Results The observation group of patients with operation time, intraoperative blood loss, hospital stay, complications should be less than the control group patients, such as more significant difference between groups, statistically significant（P〈0.05）.Conclusion Laparoscopic surgical treatment of bladder cancer can effectively reduce the time of operation, intraoperative blood loss and hospitalization time, and reduce the incidence of complications. It has high safety, remarkable therapeutic effect and worthy of clinical application.

关 键 词：腹腔镜 开放手术 根治性膀胱切除术 膀胱癌 临床研究 

分 类 号：R737.14[医药卫生—肿瘤]