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探讨保留膀胱手术在肌层浸润性膀胱癌中的临床观察 被引量:2

The Clinical Observation of Bladder Sparing Surgery in the Treatment of Muscle Invasive Bladder Cancer
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摘要 目的 研究分析肌层浸润性膀胱癌患者接受保留膀胱手术治疗的临床效果。方法 根据2010年1月~2011年8月我院的43例肌层浸润性膀胱癌患者来进行分析。观察组30例患者接受开腹手术切除部分膀胱,对照组13例患者接受电切除术治疗,对两组患者的手术情况和术后情况进行比较分析。结果 观察组有复发病例9例,观察组的复发率是30%,患者平均复发时间(9.4±2.3)个月;对照组患者有5例复发,复发率是38.5%,患者平均复发时间(8.7±2.2)个月。观察组患者术后1年无瘤生存24例,3年无瘤生存16例,对照组为10和6例,两组结果存在统计学差异性(P〈0.05)。结论 膀胱手术治疗肌层浸润性膀胱癌的效果好,临床中可以推广使用。 Objective To study the clinical effect of surgical treatment for patients with muscle invasive bladder cancer.Methods 43 patients with muscle invasive bladder cancer in our hospital from January 2010 to August 2011 were selected. Observation group of 30 patients received open surgery to remove part of the bladder, and control group of 13 patients received electric resection treatment. The two groups of patients with surgery and postoperative situation were analyzed.Results The observation group had 9 cases of recurrence, the recurrence rate of observation group was 30%, and the average recurrence time was (9.4±2.3)months; The control group had 5 cases of recurrence, the recurrence rate was 38.5%, and the average recurrence time was (8.7±2.2) months. Observation group patients 1 years after surgery in 24 cases, 3 cases of tumor free survival of 16 cases, the control group was 10 and 6 cases, and the results of the two groups were statistically significant (P〈0.05).Conclusion Bladder operation in the treatment of muscle invasive bladder cancer has good effect, and can be used in clinical practice.
作者 向阳
出处 《中国继续医学教育》 2016年第24期100-101,共2页 China Continuing Medical Education
关键词 保留膀胱 肌层浸润性膀胱癌 治疗效果 Retained bladder Muscle invasive bladder cancer Therapeutic effect
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