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目的探讨保留膀胱手术在肌层浸润性膀胱癌中的治疗效果。方法 43例肌层浸润性膀胱癌患者均在硬膜外麻醉联合蛛网膜下腔麻醉下实施手术。观察组30例患者开腹下实施部分膀胱切除术,对照组13例患者实施膀胱肿瘤电切除术。观察两组患者术中及术后情况。结果观察组患者中9例复发,观察组患者术后复发率为30.0%;观察组患者肿瘤复发时间平均为9.4个月;对照组患者中5例患者复发,对照组患者术后复发率为38.5%;观察组患者肿瘤复发时间平均为8.7个月。观察组患者术后1年和术后3年无瘤生存分别为24例和16例,对照组患者术后1年和术后3年无瘤生存分别为10例和6例,两组比较差异无统计学意义(P>0.05)。结论保留膀胱手术在肌层浸润性膀胱癌中的治疗效果显著,值得借鉴。
Objective To investigate the curative effect of preserving bladder surgery in myometrial invasive bladder cancer. Methods Forty - three patients with myometrial invasive bladder cancer underwent epidural anesthesia combined with subarachnoid anesthesia. In the observation group, 30 patients underwent partial cystectomy under open abdominal operation, and 13 patients underwent open excision of bladder tumor. The two groups of patients were observed during and after surgery. Results In the observation group, 9 patients relapsed. The recurrence rate in the observation group was 30.0%. The average tumor recurrence time in the observation group was 9.4 months. In the control group, 5 patients relapsed and the control group had a recurrence rate of 38.5 %; The observation group patients with tumor recurrence average time of 8.7 months. One year after operation and 3 years after operation in the observation group were 24 cases and 16 cases respectively. In the control group, one year after operation and three years after operation were 10 cases and 6 cases respectively. There was significant difference between the two groups No statistical significance (P> 0.05). Conclusion Retained bladder surgery in myometrial invasive bladder cancer treatment effect is significant, it is worth learning.