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目的探讨经尿道电切联合术后膀胱灌注治疗膀胱肿瘤的临床体会。方法回顾性分析我院自2005年01月至2009年03月收治的84例膀胱肿瘤患者的临床资料,根据不同手术方法,分为观察组(经尿道电切+膀胱灌注组)43例和对照组(膀胱部分切除+膀胱灌注组)41例,比较两组患者的临床疗效。结果观察组的手术时间、术中出血量、手术并发症率及平均住院时间较对照组差异显著,具有统计学意义(P<0.05),两组患者的术后总复发率及3年生存率差异无统计学意义(P>0.05)。结论经尿道电切联合术后膀胱灌注治疗膀胱肿瘤值得临床应用推广。
Objective To investigate the clinical experience of transurethral resection combined with intravesical instillation of bladder tumor. Methods The clinical data of 84 patients with bladder cancer who were treated in our hospital from January 2005 to March 2009 were retrospectively analyzed. According to the different surgical methods, the patients were divided into observation group (transurethral resection + bladder perfusion group) and control group Group (partial bladder resection + bladder perfusion group) 41 cases, the clinical efficacy of the two groups were compared. Results The operation time, intraoperative blood loss, operative complication rate and average length of hospital stay in the observation group were significantly different from those in the control group (P <0.05). The total postoperative recurrence rate and 3-year survival rate The difference was not statistically significant (P> 0.05). Conclusion Transurethral resection combined with postoperative bladder irrigation for bladder cancer deserves to be popularized.