摘要
目的:探讨微创手术治疗膀胱结石合并膀胱癌的临床效果。方法:选取于2009年9月-2011年6月笔者所在医院肿瘤科治疗的40例膀胱结石合并膀胱癌患者,采用2μm激光经尿道治疗膀胱结石及行膀胱癌切除术。结果:40例患者均顺利完成微创手术,碎石及膀胱切除手术过程出血量极少,平均碎石时间为(24±6)min,碎石冲洗时间为134 h,结石复发率为2.50%(1例),平均膀胱切除手术时间为82 min,输尿管留置时间为82 d,1年生存率为95.00%(38例),3年复发率为7.50%(3例);并发症总发生率为12.50%(5例);患者治疗前后MFR及Ur比较差异有统计学意义(P<0.05)。结论:采取2μm激光经尿道微创治疗膀胱结石合并膀胱癌的临床效果显著,治疗创伤性低及安全性高,值得临床推广使用。
Objective： To explore the clinical effects of minimally invasive surgical in the treatment of bladder stones with bladder cancer.Method： 40 bladder stones and bladder cancer patients from September 2009 to June 2011 in our hospital Oncology Department were selected, using 2 μ m transurethral laser treatment of bladder stones and bladder cancer resection.Result： 40 patients were successfully completed minimally invasive surgery, gravel and amount of bleeding during cystectomy surgery were few, the average time of gravel （24± 6）min, gravel washing time 134 h, stone recurrence rate 2.50%（1 case）, the average bladder surgery time 82 min, indwelling ureteral time 82 d, 1 year survival rate was 95.00%（38 cases）, 3 year recurrence rate was 7.50%（3 cases）; the total complication rate was 12.50%（5 cases）; MFR and Ur before and after treatment with a significant difference（P〈0.05）.Conclusion： The clinically effect of minimally invasive transurethral 2 μ m laser in the treatment of bladder stones with bladder cancer is significant, traumatic is low and safe, worthy of clinical use.
出处
《中外医学研究》
2015年第21期133-134,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
2ΜM激光
微创手术
膀胱结石
膀胱癌
2 μ m laser
Minimally invasive surgery
Bladder stones
Bladder cancer
