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目的探讨钬激光治疗浅表性膀胱肿瘤的临床效果和相关的护理干预措施。方法选择2009年3月至2012年11月收治的94例浅表性膀胱肿瘤患者,随机分为试验组(54例)和对照组(40例)。其中试验组患者采用钬激光治疗,对照组患者采用经尿道膀胱肿瘤电切术治疗,治疗后观察和记录两组患者的术中出血量、住院时间、手术时间和术后并发症。结果所有患者均成功实施手术,试验组患者的手术时间、术后留置尿管时间、住院时间和手术膀胱穿孔发生率显著优于对照组,组间差异有统计学意义(P<0.05)。术后3~12个月进行随访,两组患者均未复发。结论采用钬激光治疗浅表性膀胱肿瘤具有良好的疗效,手术过程中做好相关的监测和护理可有效改善预后,提高治疗效率。
Objective To investigate the clinical effects of holmium laser in the treatment of superficial bladder tumors and related nursing interventions. Methods Ninety-four patients with superficial bladder tumor who were treated from March 2009 to November 2012 were randomly divided into experimental group (54 cases) and control group (40 cases). The patients in the experimental group were treated with holmium laser and the control group were treated by transurethral resection of the bladder tumor. After operation, the blood loss, hospitalization time, operation time and postoperative complications were observed and recorded. Results All the patients were operated successfully. The operation time, postoperative indwelling catheter time, hospitalization time and operative bladder perforation rate of the patients in the experimental group were significantly better than those in the control group. The difference was statistically significant (P <0.05). After 3 to 12 months follow-up, no recurrence of both groups of patients. Conclusion The treatment of superficial bladder tumor with holmium laser has a good curative effect. During the operation, good monitoring and nursing can effectively improve the prognosis and improve the treatment efficiency.