摘要
目的分析对比不同方式治疗膀胱癌的临床效果。方法96例膀胱癌患者,按照手术方式的不同分为腹腔镜组(50例)和开放手术组(46例)。腹腔镜组实施腹腔镜膀胱癌根治术治疗,开放手术组实施开放性膀胱癌根治术治疗。对比两组围手术期相关临床指标、并发症发生情况以及近期疗效。结果腹腔镜组手术时间为(297.45±54.32)min,开放手术组手术时间为(291.36±61.25)min,比较差异无统计学意义(P>0.05);腹腔镜组术中出血量、术后排气时间和住院时间分别为(415.36±117.32)ml、(3.02±1.25)d、(14.75±3.23)d,均优于开放手术组的(957.35±161.27)ml、(5.26±1.24)d、(22.39±4.26)d,差异具有统计学意义(P<0.05)。腹腔镜组术后并发症发生率8.00%低于开放手术组的32.61%,差异具有统计学意义(P<0.05)。腹腔镜组治疗总有效率94.00%高于开放手术组的80.43%,差异具有统计学意义(P<0.05)。结论膀胱癌患者接受腹腔镜膀胱癌根治术和开放性膀胱癌根治术均能获得满意效果,但腹腔镜手术优势更加明显,能够保障患者获得更佳的近期疗效,且能够促进其及早恢复。
Objective To analyze and compare the clinical effect of different treatment methods for bladder cancer.Methods A total of 96 bladder cancer patients were divided into laparoscopic group(46 cases)and open surgery group(46 cases).The laparoscopic group was treated with laparoscopic radical cystectomy,and the open surgery group was treated with open radical cystectomy.Comparison was made on perioperative clinical indicators,occurrence of complications and short-term efficacy between the two groups.Results The operation time was(297.45±54.32)min in laparoscopic group,which was(291.36±61.25)min in open surgery group,and the difference was not statistically significant(P>0.05).The amount of intraoperative hemorrhage,postoperative exhaust time and hospitalization time were(415.36±117.32)ml,(3.02±1.25)d and(14.75±3.23)d in laparoscopic group,which was better than(957.35±161.27)ml,(5.26±1.24)d and(22.39±4.26)d in open surgery group,and their difference was statistically significant(P<0.05).The incidence of postoperative complications 8.00%in laparoscopic group was lower than 32.61%in open surgery group,and the difference was statistically significant(P<0.05).The total effective rate of treatment was 94.00%in laparoscopic group was higher than 80.43%in open surgery group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic radical cystectomy and open radical cystectomy can achieve satisfactory results for patients with bladder cancer,but the advantages of laparoscopic surgery are more obvious,which can ensure better short-term efficacy for patients and promote their early recovery.
作者
刘志杰
刘世会
别小川
LIU Zhijie;LIU Shi-hui;BIE Xiao-chuan(Department of Urology Surgery,Weifang Hanting People’s Hospital,Weifang 261100,China)
出处
《中国实用医药》
2019年第31期4-6,共3页
China Practical Medicine
关键词
膀胱癌
腹腔镜
开放性手术
近期疗效
Bladder cancer
Laparoscopy
Open surgery
Short-term efficacy
