经尿道膀胱肿瘤电切术治疗膀胱肿瘤的临床效果  

Clinical Effect of Transurethral Resection for Bladder Tumor

作　　者：孟昭旭[1] Meng Zhaoxu(First Department of Surgery,Peixian County Hospital of Traditional Chinese Medicine,Xuzhou 221600,Jiangsu Province,China)

机构地区：[1]沛县中医院外一科,江苏徐州221600

出　　处：《中国社区医师》2024年第27期43-45,共3页Chinese Community Doctors

摘　　要：目的:探讨经尿道膀胱肿瘤电切术治疗膀胱肿瘤的临床效果。方法:选取2018年2月—2022年12月沛县中医院接诊的膀胱肿瘤患者66例作为研究对象,按照随机数字表法将患者分为对照组和试验组,每组33例。对照组接受开放性手术治疗,试验组接受经尿道膀胱肿瘤电切术治疗。对比两组手术指标、疼痛评分、并发症及复发情况。结果:试验组手术时间、尿管留置时间、住院时间均短于对照组,术中出血量少于对照组(P<0.001)。试验组术后6 h、12 h及24 h疼痛评分低于对照组(P<0.001)。试验组并发症总发生率、复发率低于对照组(P<0.05)。结论:经尿道膀胱肿瘤电切术治疗膀胱肿瘤的应用效果较好,能够缩短手术时间、尿管留置时间和住院时间,减少术中出血量,减轻患者疼痛症状,降低并发症发生率和复发率。Objective:To investigate the clinical effect of transurethral resection for bladder tumor.Methods:A total of sixty-six patients with bladder tumor treated in Peixian County Hospital of Traditional Chinese Medicine from February 2018 to December 2022 were selected as the study objects.According to random number table method,the patients were divided into control group and experimental group,with thirty-three cases in each group.The control group received open surgery and the experimental group received transurethral resection of bladder tumor.The surgical indexes,pain scores,complications and recurrence were compared between the two groups.Results:The operative time,urinary catheter indwelling time and hospital stay of the experimental group were shorter than those of the control group,and the intraoperative blood loss was less than that of the control group(P<0.001);the pain scores of the experimental group were lower than those of the control group at 6,12 and 24 hours after operation(P<0.001);the total complication rate and recurrence rate of experimental group were lower than those of control group(P<0.05).Conclusion:The application effect of transurethral resection of bladder tumor is good,which can shorten the operation time,urinary catheter indwelling time and hospital stay,reduce the amount of intraoperative bleeding,relieve the pain symptoms of patients,and reduce the incidence of complications and recurrence rate.

关 键 词：膀胱肿瘤 经尿道膀胱肿瘤电切术 复发 并发症 

分 类 号：R737.14[医药卫生—肿瘤]