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目的通过经尿道等离子双极电切术治疗膀胱肿瘤与传统的膀胱切开切除肿瘤和膀胱部分切除手术效果的比较,分析等离子双极电切术治疗膀胱肿瘤的效果。方法我院2007年1月至2009年12月收治的42例膀胱肿瘤患者按治疗方法将其分为二组,采用经尿道等离子双极电切术治疗的28例患者设为观察组,14例经膀胱切开切除肿瘤和膀胱部分切除手术的患者为对照组;进行对比分析。结果观察组28例膀胱肿瘤患者平均手术时间明显短于对照组,术中出血量以及恢复时间均明显小于对照组,所有患者全部治愈出院,出院后随访3～6个月,患者恢复良好,且术后并发症少。二组相比差异明显,具有统计学意义(P<0.05)。结论经尿道等离子双极电切术治疗膀胱肿瘤具有组织损伤小,操作简单、疗效确切等特点,是一种安全有效的手术方法,值得推广。
Objective To compare the effect of transurethral plasma-bipolar resection of bladder tumor with the traditional resection of the tumor and partial excision of the bladder to analyze the effect of plasma bipolar resection in the treatment of bladder cancer. Methods Forty-two patients with bladder cancer who were treated in our hospital from January 2007 to December 2009 were divided into two groups according to the treatment methods. Twenty-eight patients treated by transurethral plasma bipolar resection were selected as observation group and 14 patients Patients who underwent resection of the tumor by cystectomy and partial resection of the bladder were treated as control group; comparative analysis was performed. Results The average operative time of 28 patients with bladder cancer in the observation group was significantly shorter than that in the control group. The amount of bleeding and the recovery time during operation were significantly less than those in the control group. All patients were cured and discharged. All patients were followed up for 3 to 6 months after discharge. Postoperative complications less. Significant difference between the two groups, with statistical significance (P <0.05). Conclusions Transurethral plasma bipolar grafting is a safe and effective surgical method for the treatment of bladder cancer with small tissue damage, simple operation and definite curative effect. It is worth popularizing.