CAJ | 학술논문

目的：探讨经尿道膀胱肿瘤电切术和膀胱部分切除术治疗膀胱瘤的临床效果。方法选取2012年7月~2014年7月在本院治疗的44例膀胱肿瘤患者作为研究对象，根据手术类型将其分为对照组(12例)和观察组(32例)。对照组行膀胱部分切除术，观察组行经尿道膀胱肿瘤电切术。比较两组术中、术后的各项指标以及并发症发生率。结果观察组术中出血量显著少于对照组，手术时间、术后膀胱冲洗时间、尿管留置时间和住院时间显著短于对照组，差异有统计学意义(P<0.05)；观察组术后并发症发生率为6.25%，显著低于对照组的41.67%，差异有统计学意义(P<0.05)。结论经尿道肿瘤电切术治疗膀胱肿瘤可减少术中出血量，降低术后并发症发生率。
목적：탐토경뇨도방광종류전절술화방광부분절제술치료방광류적림상효과。방법선취2012년7월~2014년7월재본원치료적44례방광종류환자작위연구대상，근거수술류형장기분위대조조(12례)화관찰조(32례)。대조조행방광부분절제술，관찰조행경뇨도방광종류전절술。비교량조술중、술후적각항지표이급병발증발생솔。결과관찰조술중출혈량현저소우대조조，수술시간、술후방광충세시간、뇨관류치시간화주원시간현저단우대조조，차이유통계학의의(P<0.05)；관찰조술후병발증발생솔위6.25%，현저저우대조조적41.67%，차이유통계학의의(P<0.05)。결론경뇨도종류전절술치료방광종류가감소술중출혈량，강저술후병발증발생솔。
Objective To explore the clinical efficacy of transurethral resection of bladder tumor and partial cystectomy in treatment of bladder cancer. Methods 44 patients with bladder tumor treated in our hospital from July 2012 to July 2014 were selected as research objects,and were divided into control group (12 cases) and observation group (32 cases) according to the type of surgery.Partial cystectomy was given to control group,transurethral resection of bladder tumor was taken to observation group.The intraoperative and postoperative indicators,the incidence of complications between two groups was compared. Results The amount of bleeding during operation in observation group was less than that in control group,the operation time,bladder irrigation time,indwelling catheter time and hospitalization time in observation group was shorter than that in control group,the difference was significant (P<0.05).Postoperative complication rate was 6.25% in observation group,lower than 41.67% in control group,the difference was significant (P<0.05). Conclusion Transurethral resection of bladder tumor in treatment of bladder cancer can reduce the bleeding during operation,de-crease the incidence of postoperative complication rate.