中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
16期
14-15,16
,共3页
经尿道电切术%老年人%肌层浸润膀胱癌
經尿道電切術%老年人%肌層浸潤膀胱癌
경뇨도전절술%노년인%기층침윤방광암
Transurethral resection%Aged%Muscle invasive bladder cancer
目的：对老年肌层浸润膀胱癌通过经尿道电切术治疗，对其治疗效果进行探讨与分析。方法：从2011年6月-2013年6月笔者所在医院收治的肌层浸润膀胱癌老年患者中抽取20例，对其临床资料进行回顾性分析，遵循患者知情同意的原则依照随机抽取的方式给予其中10例经尿道电切术治疗(TURBT组)，另10例给予膀胱部分切除术(PC组)治疗，对两组的术中出血量进行观察，并对比两组的手术与住院时间，同时记录术后的随访结果。结果：手术时间、术中出血量及住院时间上，TURBT组分别为(41.7±21.2)min、(54.4±21.3)ml及(9.4±3.9)d，PC组分别为(103.6±24.1)min、(109.3±26.7)ml及(25.4±4.2)d，两组比较差异均有统计学意义(P<0.05)；经过1年左右的随访，两组复发率和死亡率比较差异无统计学意义(P>0.05)，两组再次治疗例数比较差异无统计学意义(P>0.05)，但有一定的可比性。结论：在治疗老年肌层浸润膀胱癌中，经尿道电切术有着较短的手术和住院时间，术中出血量少，能够加快患者的恢复速度，对患者的预后进行有效改善，值得推广。
目的：對老年肌層浸潤膀胱癌通過經尿道電切術治療，對其治療效果進行探討與分析。方法：從2011年6月-2013年6月筆者所在醫院收治的肌層浸潤膀胱癌老年患者中抽取20例，對其臨床資料進行迴顧性分析，遵循患者知情同意的原則依照隨機抽取的方式給予其中10例經尿道電切術治療(TURBT組)，另10例給予膀胱部分切除術(PC組)治療，對兩組的術中齣血量進行觀察，併對比兩組的手術與住院時間，同時記錄術後的隨訪結果。結果：手術時間、術中齣血量及住院時間上，TURBT組分彆為(41.7±21.2)min、(54.4±21.3)ml及(9.4±3.9)d，PC組分彆為(103.6±24.1)min、(109.3±26.7)ml及(25.4±4.2)d，兩組比較差異均有統計學意義(P<0.05)；經過1年左右的隨訪，兩組複髮率和死亡率比較差異無統計學意義(P>0.05)，兩組再次治療例數比較差異無統計學意義(P>0.05)，但有一定的可比性。結論：在治療老年肌層浸潤膀胱癌中，經尿道電切術有著較短的手術和住院時間，術中齣血量少，能夠加快患者的恢複速度，對患者的預後進行有效改善，值得推廣。
목적：대노년기층침윤방광암통과경뇨도전절술치료，대기치료효과진행탐토여분석。방법：종2011년6월-2013년6월필자소재의원수치적기층침윤방광암노년환자중추취20례，대기림상자료진행회고성분석，준순환자지정동의적원칙의조수궤추취적방식급여기중10례경뇨도전절술치료(TURBT조)，령10례급여방광부분절제술(PC조)치료，대량조적술중출혈량진행관찰，병대비량조적수술여주원시간，동시기록술후적수방결과。결과：수술시간、술중출혈량급주원시간상，TURBT조분별위(41.7±21.2)min、(54.4±21.3)ml급(9.4±3.9)d，PC조분별위(103.6±24.1)min、(109.3±26.7)ml급(25.4±4.2)d，량조비교차이균유통계학의의(P<0.05)；경과1년좌우적수방，량조복발솔화사망솔비교차이무통계학의의(P>0.05)，량조재차치료례수비교차이무통계학의의(P>0.05)，단유일정적가비성。결론：재치료노년기층침윤방광암중，경뇨도전절술유착교단적수술화주원시간，술중출혈량소，능구가쾌환자적회복속도，대환자적예후진행유효개선，치득추엄。
Objective:In aged muscle invasive bladder cancer by transurethral resection,carries on the discussion and the analysis of its therapeutic effect.Method:From June 2011 to June 2013 in our hospital from muscular layer infiltration of bladder cancer in elderly patients of 20 cases were analyzed retrospectively,follow the principle of informed consent in accordance withpatients were randomly selected to give way in which 10 cases transurethral resection(TURBT group),another 10 cases were treated with partial cystectomy(PC group),two groups of bleeding volume during operation were observed,and compared between two groups of operationand hospitalization time,and the follow-up results after operation.Result:The operation time,bleeding and hospitalization time,TURBT group were (41.7±21.2) min,(54.4±21.3) ml and (9.4±3.9) d,PC group were (103.6±24.1) min,(109.3±26.7) ml and (25.4±4.2) d,the differences were statistical significance(P<0.05).After 1 year of follow-up,the recurrence and mortality,two groups had no significant difference,while the two group the number of cases of treatment again had no significant difference(P>0.05),but there were certain comparability.Conclusion:In the treatment of elderly patients with muscle invasive bladder cancer,transurethral resection with shorter operation time and hospitalization,operation,less bleeding,can accelerate the speed of recovery of patients,toimprove the prognosis of the patients,is worthy of promotion.
