经尿道膀胱肿瘤整块切除术与经尿道膀胱肿瘤电切术治疗非肌层浸润性膀胱肿瘤的效果对比  

Comparison of En Bloc Transurethral Resection of Bladder Tumor and Transurethral Resection of Bladder Tumor in the Treatment of Non Muscle Invasive Bladder Tumor

作　　者：黄旭锋 杨水法 李康 杨恩明 王世先 潘东山 HUANG Xufeng;YANG Shuifa;LI Kang;YANG Enming;WANG Shixian;PAN Dongshan(The Second Affiliated Hospital of Xiamen Medical College,Xiamen 361021,China;不详)

机构地区：[1]厦门医学院附属第二医院,福建厦门361021

出　　处：《中外医学研究》2020年第35期114-116,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨经尿道膀胱肿瘤整块切除术与经尿道膀胱肿瘤电切术治疗非肌层浸润性膀胱肿瘤的效果。方法:选取2017年1月-2019年12月本院收治的非肌层浸润性膀胱肿瘤患者60例,按照随机数字表法分为观察组(30例)和对照组(30例),观察组行经尿道膀胱肿瘤整块切除术,对照组行经尿道膀胱瘤电切术。比较两组临床指标、并发症发生情况、术后切缘阳性率、术后4周心理评分。结果:两组手术时间、住院时间、住院费用及并发症发生率对比差异无统计学意义(P>0.05);观察组术中出血量少于对照组(P<0.05);观察组术后切缘阳性率为0,低于对照组的13.33%(P<0.05);两组术后4周SDS评分与SAS评分对比差异无统计学意义(P>0.05)。结论:对于非肌层浸润性膀胱瘤手术患者,采用经尿道整块切除术进行治疗,和传统的经尿道膀胱肿瘤电切除术相比,术中出血量更少,术后病理切缘阳性率更低,具有明显的优势,且操作便捷,具有较高的安全性和可靠性,效果突出,值得临床借鉴。Objective:To investigate the efficacy of en bloc transurethral resection of bladder tumor and transurethral resection of bladder tumor in the treatment of non muscle invasive bladder tumor.Method:A total of 60 patients with non muscle invasive bladder tumor admitted to our hospital from January 2017 to December 2019 were selected and divided into the observation group (30 cases) and the control group (30 cases) by random number table method.The observation group underwent en bloc transurethral resection of bladder tumor,while the control group underwent transurethral resection of bladder tumor.The clinical indicators,complications,positive rate of postoperative incision margin and psychological score 4 weeks after surgery of the two groups were compared.Result:There were no statistically significant differences between the two groups in terms of the operation time,hospitalization time,hospitalization expenses and the incidence of complications (P>0.05).The intraoperative blood loss in the observation group was less than that in the control group (P<0.05).The positive rate of postoperative incision margin in the observation group was 0,which was lower than 13.33% in the control group (P<0.05).There were no significant differences between SDS and SAS scores 4 weeks after surgery between the two groups (P>0.05).Conclusion:For surgery patients with non muscle invasive bladder tumor,en bloc transurethral resection of bladder tumor,compared with the traditional transurethral resection of bladder tumor,has less intraoperative blood loss,lower positive rate of postoperative incision margin,has obvious advantages,convenient operation,high safety and reliability,outstanding effect,which is worthy of clinical reference.

关 键 词：经尿道膀胱肿瘤整块切除术 经尿道膀胱肿瘤电切术 非肌层浸润性膀胱瘤 切缘阳性 

分 类 号：R737.14[医药卫生—肿瘤]