经尿道膀胱肿瘤电切术与膀胱部分切除术治疗膀胱肿瘤的效果分析

连新耀

（陕西省澄城县医院，陕西 渭南，715200）

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摘要：

目的 观察经尿道膀胱肿瘤电切术治疗膀胱肿瘤的临床效果。方法 将我院收治的46 例膀胱肿瘤患者随机分为对照组和观察组，各23例，分别采用膀胱部分切除术、经尿道膀胱肿瘤电切术治疗，比较两组的治疗效果。结果 观察组手术时间、 术中出血量优于对照组（P<0.05），观察组患者术后膀胱冲洗时间、留置导尿管时间、住院时间均短于对照组（P<0.05）。观察组 并发症总发生率（13.04%）显著低于对照组（30.43%）（P<0.05）。两组治疗后IPSS、QOL评分显著低于治疗前（P<0.05），治疗前、后组间比较，差异无统计学意义（P>0.05）。结论 采用经尿道膀胱肿瘤电切术治疗膀胱肿瘤，临床效果优于膀胱部分切除术，且术后并发症发生率低，值得临床推广应用。

关键词：膀胱电切术；膀胱肿瘤；IPSS；QOL

中图分类号：R737.14文献标志码：A文章编号：2096-1413(2017)30-0092-02

Effect analysis of transurethral resection of bladder tumor and partial resection of bladder in the treatment

of bladder tumor
LIAN Xin-yao
(Chengcheng County Hospital of Shaanxi Province, Weinan 715200, China)

ABSTRACT: Objective To observe the clinical effect of transurethral resection of bladder tumor on bladder cancer. Methods Forty -six patients with bladder cancer treated in our hospital were randomly divided into control group and observation group, with 23 cases in each group. The control group was treated with partial urinary bladder resection. The observation group was treated with transurethral resection of bladder tumor. The clinical effects were compared between the two groups. Results In the observation group, the operation time and intraoperative blood loss were significantly better than those in the control group (P<0.05), the time of postoperative bladder rinse, hospitalization and indwelling catheter were significantly shorter than those in the control group (P<0.05). The total incidence rate of complications in the observation group (13.04%) was significantly lower than that in the control group (30.43%) (P<0.05). The IPSS score and QOL score of the two groups after treatment were significantly lower than those before treatment (P<0.05), and there were no significant difference between the two groups before and after treatment (P>0.05). Conclusion The clinical effect of transurethral resection of bladder bladder tumor is significantly better than partial resection of bladder treatment, and it has lower postoperative complications, which is worthy of clinical application.
KEYWORDS: bladder resection; bladder neoplasms; IPSS; QOL

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