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目的观察并探讨放射性膀胱炎患者接受经尿道电凝术治疗的临床效果。方法取90例放射性膀胱炎患者分成对照组和实验组各45例。对照组接受4%甲醛溶液行膀胱内灌注治疗方案,实验组患者则接受经尿道电凝术治疗方案,术后随访两组患者并就结果差异作统计学分析。结果两组患者术后随访3~12个月,对照组患者术后再出血率高于实验组,组间差异具有统计学意义(P<0.05);对照组中出现严重尿急和尿频者例数多于实验组,差异有统计学意义(P<0.05)。结论在放射性膀胱炎的各类治疗方案中,经尿道电凝术具有确切疗效,且术后较少出现不良反应,是膀胱内出血症控制措施中较为有效的一种,值得在临床上推广使用。
Objective To observe and discuss the clinical effect of transurethral electrocoagulation in patients with radiation cystitis. Methods Ninety patients with radioactive cystitis were divided into control group and experimental group with 45 cases each. The control group received 4% formalin solution intravesical instillation. Patients in the experimental group received transurethral electrocoagulation. Patients were followed up for two groups of patients and the differences were statistically analyzed. Results The two groups were followed up for 3 to 12 months, the rate of postoperative hemorrhage in the control group was higher than that in the experimental group, the difference was statistically significant (P <0.05); in the control group, severe urinary urgency and frequent urination More than the experimental group, the difference was statistically significant (P <0.05). Conclusions Transurethral electrocoagulation is the most effective method in the treatment of radiation cystitis, and has few adverse reactions after operation. It is a more effective method to control the intracerebral hemorrhage and is worth popularizing in the clinic.