经尿道等离子电切术治疗膀胱肿瘤.doc

精品论文 参考文献 经尿道等离子电切术治疗膀胱肿瘤 廖忠军 　　自贡市富顺县人民医院　四川　自贡　６４３２００ 作者简介:廖忠军,出生年月:１９６５．４．２７,科室:泌尿外科,单位及级别:自贡市富顺县人民医院,二级甲等 　　【摘要】　目的　探讨经尿道等离子电切术治疗膀胱肿瘤,为临床应用提供参考.方法　选取２０１３年１月至２０１４年１月在我院收治的５６例膀胱肿瘤患者,按照简单随机方法将患者分成观察组及对照组,各２８例,分别接受经尿道等离子电切术、经尿道电切术治疗,观察治疗效果.结果　与对照组患者相比,观察组患者的手术时间、术中出血量、术后导尿时间及住院时间分别为３４．８plusmn;１１．８min、４７．１plusmn;２２．３mL、４．１plusmn;０．７d和４．８plusmn;０．９d,对比分析后,差异无统计学意义(t＝１．４９３、１．０２３、１．１０３、１．４７２,P＞０．０５).与对照组患者相比,观察组患者的复发率为８．０％,闭孔神经反射率为２０．０％,对比分析,具有统计学差异(t＝１．１９３、５．５４７,P＜０．０５).结论　经尿道等离子电切术是一种方便、有效的手术方法,其操作简单,止血快,住院时间短,安全性高,闭孔神经反射的发生率低,具有广泛的应用前景. 【关键字】　经尿道等离子电切术;　传统经尿道电切术;　膀胱肿瘤;　闭孔神经反射Transurethralresectionofbladdertumor　LiaoZhongjun　(FushunPeople＇sHospital,Zigong,６４３２００)【Abstract】Objective:Toinvestigatethetreatmentofbladdertumorbytransurethralresectionofthebladdertumor,andtoprovideareferenceforclinicalapplication．Methods:fromJanuary２０１３toJanuary２０１４inourhospital５０casesofbladdercancerpatients,accordingtoasimplerandommethodtodividethepatientsintoobservationgroupandcontrolgroup,２５casesineachgroup,receivedtransurethralplasmaresection,transurethralresectionofthetreatment,observationandtreatmenteffect．Results:comparedwiththecontrolgroup,comparedtoobservationgrouppatientsinoperativetime,bleedingvolume,postoperativecatheterizationtimeandhospitalizationtimewere３４．８＋１１．８min,４７．１＋２２．３ml,４．１＋０．７dand４．８＋０．９d,comparativeanalysis,differenceofnostatisticalsignificance(t＝１．４９３,１．０２３,１．１０３,１．４７２,P＞０．０５)．Comparedwiththepatientsinthecontrolgroupandobservationgroupofpatientswithrecurrenceratewas８．０％andreflectivityoftheobturatornervewas２０．０％,comparaＧtiveanalysis,withstatisticaldifference(t＝１．１９３,５．５４７,P＜０．０５)．Conclusion:transurethralresectionofplasmacuttingtechniqueisaconvenientandeffectivesurgicalmetho【dke,ytwhoerdop】erationsimple,fasthemostasis,shorthospitalizationtime,highsafety,lowincidenceofobturatornervereflex,withwideapplicationprospect． transurethralplasmakineticresection;traditionaltransurethralresection;bladdertumor;obturatornervereflex 【中图分类号】R６１５ 【文献标识码】A 　　【文章编号】１００８－６３１５(２０１５)１２－０８１