CAJ | 학술논문

目的：探讨同期经尿道电切术治疗浅表性膀胱癌合并前列腺增生的临床效果。方法选取我院49例浅表性膀胱癌合并前列腺增生的患者作为研究对象，将其中28例行同期经尿道浅表性膀胱癌加前列腺电切术患者作为治疗组，将21例行开放性手术切除膀胱癌加前列腺的患者作为对照组，比较两组患者手术时间、术中出血量及住院时间等情况。结果手术顺利，术中无大出血及穿孔等并发症发生。治疗组的手术时间、术中出血量以及住院时间均小于对照组，差异具有统计学意义（P＜0.05）。两组患者疾病复发率差异无统计学意义（P＞0.05）。结论同期经尿道电切术治疗浅表性膀胱癌合并前列腺增生手术时间、术中出血量及住院时间均比开放性手术短，并且治疗效果显著，术后复发率较低，值得推广应用。
목적：탐토동기경뇨도전절술치료천표성방광암합병전렬선증생적림상효과。방법선취아원49례천표성방광암합병전렬선증생적환자작위연구대상，장기중28례행동기경뇨도천표성방광암가전렬선전절술환자작위치료조，장21례행개방성수술절제방광암가전렬선적환자작위대조조，비교량조환자수술시간、술중출혈량급주원시간등정황。결과수술순리，술중무대출혈급천공등병발증발생。치료조적수술시간、술중출혈량이급주원시간균소우대조조，차이구유통계학의의（P＜0.05）。량조환자질병복발솔차이무통계학의의（P＞0.05）。결론동기경뇨도전절술치료천표성방광암합병전렬선증생수술시간、술중출혈량급주원시간균비개방성수술단，병차치료효과현저，술후복발솔교저，치득추엄응용。
Objective To discuss the clinical effect of simultaneous transurethral resection in the treatment of superficial bladder cancer combined with benign prostate hyperplasia. Methods 49 cases of superficial bladder cancer combined with benign prostate hyperplasia in our hospital were selected as the research objects, of which 28 patients who were underwent the simultaneous transurethral resection of superficial bladder cancer and prostate were as the treatment group, and 21 patients who were underwent the open surgery resection of bladder cancer and prostate were as the control group. The operative time, intraoperative blood loss and length of stay of patients in the two groups were observed and compared. Results The surgery went well, and no intraoperative massive hemorrhage and perforation and other complications happened. The operative time,intraoperative blood loss and length of stay of patients in the treatment group were less than those in the control group,the differences were statistically significant (P < 0.05).The difference was not significant in the recurrence rate of patients between the two groups(P > 0.05). Conclusion The operative time,intraoperative blood loss and length of stay of patients with superficial bladder cancer combined with benign prostate hyperplasia by using the simultaneous transurethral resection are shorter than those by using the open surgery,and the simultaneous transurethral resection has more significant treatment effect, lower postoperative recurrence rate, and is worthy of popularization and application.