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目的 对经尿道等离子柱状电极不全剜除加电切治疗浅表性膀胱侧壁肿瘤的临床效果进行分析和探讨.方法随机选取86例在2015G3-2016G5期间与我院接受治疗的浅表性膀胱侧壁肿瘤患者,按照随机双盲原则将患者分为两组,观察组患者接受经尿道等离子柱状电极不全剜除加电切的治疗,对照组患者接受经尿道单极高频电刀切除术的治疗,比较两组患者临床疗效.结果 两组患者一次切除成功率均达100%;相较于对照组患者,观察组患者术中出血量更少(P<005),导管留置、住院所用时间更短(P<005),闭孔神经反射、膀胱穿孔、复发率更低(000%和2326%、000%和930%、698%和3721%,P<005).结论 经尿道等离子柱状电极不全剜除加电切是治疗浅表性膀胱侧壁肿瘤的有效方式,可改善患者一般临床指标,降低患者并发症发生率和复发率,推荐使用.
Objective To analyze and discuss the clinical effect of transurethral plasma columnar electrode incomplete excision plus electrotomy for the treatment of superficial bladder tumor.Methods 86 cases of superficial bladder from 2015G3-2016G5 were selected randomly According to the randomized double-blind principle, the patients were divided into two groups. Patients in the observation group were treated with transurethral plasma columnar electrode insufficiency and electrosurgical excision. Patients in the control group underwent transurethral unipolar electrosurgical excision , The clinical efficacy was compared between the two groups.Results The successful rate of one resection was 100% in both groups.Compared with the control group, the patients in the observation group had less intraoperative blood loss (P <0.05), catheter indwelling and hospitalization more Shorter (P <005), obturator nerve reflex, bladder perforation, lower recurrence rate (000% and 2326%, 000% and 930%, 698% and 3721%, P < Excision plus electrotomy is an effective treatment of superficial bladder tumor, can improve the general clinical indicators of patients and reduce the incidence of complications and recurrence rates, it is recommended.