经尿道双极等离子电切术对膀胱癌患者手术相关指标、生活质量和远期预后的影响  

Effects of transurethral bipolar plasma resection on operation related indexes,quality of life and long-term prognosis of patients with bladder cancer

作　　者：秦悦 白冰[1] 杨超 张海芳[1] QIN Yue;BAI Bing;YANG Chao;ZHANG Haifang(Department of Urology,the People’s Hospital of Anyang City,Anyang 455000,He’nan,China)

机构地区：[1]安阳市人民医院泌尿外科,河南安阳455000

出　　处：《癌症进展》2024年第6期673-676,共4页Oncology Progress

摘　　要：目的 探讨经尿道双极等离子电切术对膀胱癌患者手术相关指标、生活质量和远期预后的影响。方法根据手术方式的不同将107例膀胱癌患者分为对照组(n=53)和观察组(n=54),对照组患者给予膀胱部分切除术治疗,观察组患者给予经尿道双极等离子电切术治疗。比较两组患者手术相关指标、生活质量[欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)]、术后并发症发生情况及随访2年复发情况。结果 观察组患者手术时间、导尿管留置时间、首次下床活动时间、术后住院时间均明显短于对照组,术中出血量明显少于对照组,差异均有统计学意义(P﹤0.01)。术后3个月,两组患者躯体功能、情绪功能、社会功能、认知功能评分均高于本组术前,观察组患者躯体功能、情绪功能、社会功能、认知功能评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者的并发症总发生率为5.56%,低于对照组患者的18.87%,差异有统计学意义(P﹤0.05)。术后随访2年,观察组患者术后6个月、1年、2年复发率均低于对照组,差异均有统计学意义(P﹤0.05)。结论 经尿道双极等离子电切术治疗膀胱癌,可缩短导管留置时间及术后住院时间,降低术后并发症发生率和复发率,改善生活质量,有利于患者的术后恢复。Objective To investigate the effects of transurethral bipolar plasma resection on operation related index-es,quality of life and long-term prognosis of patients with bladder cancer.Method A total of 107 patients with bladder cancer were divided into control group(n=53)and observation group(n=54)according to the different surgical methods.The patients in the control group were treated with partial cystectomy,and the patients in the observation group were treat-ed with transurethral bipolar plasma resection.The surgical related indicators,quality of life[European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)],incidence of postoperative complications,and 2-year follow-up recurrence were compared between two groups.Result The surgical time,catheter-ization retention time,first time out of bed activity time,and postoperative hospitalization time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).Three months after surgery,the scores of physical function,emotional function,social function,and cognitive function in both groups were higher than those before surgery,the scores of physical function,emotional function,social function,and cognitive function in the observation group were higher than those in the control group,and the differences were sta-tistically significant(P<0.05).The total incidence of complications in the observation group was 5.56%,which was lower than 18.87%in the control group,and the difference was statistically significant(P<0.05).After 2 years of postoperative follow-up,the recurrence rates of the observation group at 6 months,1 year,and 2 years after surgery were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Transurethral bipolar plasma resection for bladder cancer can shorten the catheter retention time and postoperative hospital stay,reduce the inci-dence of postoperative complications a

关 键 词：膀胱癌 双极等离子电切术 导管留置时间 并发症 

分 类 号：R737.14[医药卫生—肿瘤]