论文部分内容阅读
目的:探讨HX-610-135L型钛夹在经尿道2μm激光切除术治疗非肌层浸润性膀胱癌中应用的有效性及安全性。方法:将57例非肌层浸润性膀胱癌患者随机分为两组,29例行经尿道2μm激光切除术+膀胱创面钛夹夹闭术(钛夹组),28例行经尿道2μm激光切除术(对照组);比较两组患者术后膀胱冲洗时间、术后保留尿管时间、膀胱创面愈合时间、术后6月内泌尿道感染发生率等指标。结果:57例患者均顺利完成手术,无严重并发症发生。钛夹组术后膀胱冲洗时间、术后留置尿管时间、膀胱创面愈合时间、术后泌尿道感染发生率明显小于对照组(P<0.05)。结论:非肌层浸润性膀胱癌行经尿道2μm激光切除术后将膀胱创面用钛夹夹闭可减少创面出血,缩短创面愈合时间,减少术后泌尿道感染的发生率。
Objective: To investigate the effectiveness and safety of HX-610-135L titanium clips in the treatment of non-muscle invasive bladder cancer with 2μm transurethral laser resection. Methods: Fifty-seven patients with non-muscle invasive bladder cancer were randomly divided into two groups. Twenty-nine patients underwent transurethral resection of the urethra with 2μm laser and titanium clips (titanium clamp), and 28 patients underwent 2μm transurethral laser resection (Control group). The postoperative bladder irrigation time, postoperative retention catheter time, healing time of bladder wound and the incidence of urinary tract infection within 6 months after operation were compared between the two groups. Results: All the 57 patients completed the operation without serious complications. The postoperative bladder irrigation time, postoperative ureteral catheterization time, healing time of bladder wound and postoperative urinary tract infection rate in the titanium clamp group were significantly less than those in the control group (P <0.05). Conclusion: Non-mycotic invasive bladder cancer with transluminal 2um laser resection of the bladder wound with titanium clips can reduce the wound bleeding, shorten the wound healing time and reduce the incidence of postoperative urinary tract infection.