腹腔镜与开放手术方式根治性膀胱切除术治疗膀胱癌的临床有效性研究(1)
【摘要】 目的：比较膀胱癌患者接受腹腔镜手术治疗、开放手术方式根治性膀胱切除术(RC)治疗的不同效果。方法：选取2015年9月-2017年10月笔者所在医院收治的膀胱癌患者82例，依据手术治疗方式不同分为观察组和对照组，观察组接受腹腔镜手术治疗，对照组接受开放手术治疗，比较两组治疗效果、手术情况及并发症发生情况。结果：观察组治疗总有效率为95.12%，显著高于对照组的73.17%(字2=5.632 8，P<0.05)；观察组术中出血量少于对照组，术后肠道恢复时间、住院时间均短于对照组，比较差异均有统计学意义(P<0.05)；观察组并发症发生率为7.32%，显著低于对照组的26.83%(字2=8.629 7，P<0.05)。结论：膀胱癌接受腹腔镜手术治疗能够获得和开放手术相同的效果，且腹腔镜手术能够减小创伤，降低术后并发症发生率，可在临床推广。
【关键词】 膀胱癌； 腹腔镜； 开放手术； 根治性膀胱切除术
doi：10.14033/j.cnki.cfmr.2018.18.017 文献标识码 B 文章编号 1674-6805(2018)18-00-03
Clinical Efficacy of Laparoscopic and Open Surgery Radical Cystectomy in the Treatment of Bladder Cancer/LI Bin，HUANG Deliang.//Chinese and Foreign Medical Research，2018，16(18)：-43
【Abstract】 Objective： To compare the different effects of laparoscopic and open surgery radical cystectomy(RC) in patients with bladder cancer.Method：From September 2015 to October 2017，82 cases of bladder cancer in the author’s hospital were selected and divided into observation group and control group according to different surgical treatment mode.The observation group received laparoscopic surgery，while the control group received open surgery.The treatment effect，operation condition and complications of the two groups were compared.Result：The total effective rate in the observation group was 95.12%，which was significantly higher than 73.17% in the control group，the difference was statistically significant(字2=5.632 8，P<0.05).The amount of intraoperative blood loss in the observation group was lower than that in the control group，postoperative intestinal recovery time and hospitalization time were shorter than those in the control group，the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 7.32%，which was lower than 26.83% in the control group，the difference was statistically significant(字2=8.629 7，P<0.05).Conclusion：Laparoscopic surgery for bladder cancer can achieve the same effect as open surgery，and laparoscopic surgery can reduce trauma and reduce the incidence of postoperative complications，so it can be popularized in clinical practice.
【Key words】 Bladder cancer； Laparoscopy； Open surgery； Radical cystectomy
First-author’s address：Jingzhou Traditional Chinese Medicine Hospital，Jingzhou 434000，China
隨着研究的深入，医学技术的进步，应用于临床恶性肿瘤治疗的手术方式逐渐增多，微创手术的应用逐渐广泛。本研究比较了2015年9月-2017年10月笔者所在医院应用开放手术、腹腔镜根治性膀胱切除术(RC)治疗82例膀胱癌患者的效果，现报道如下。
1 资料与方法
1.1 一般资料
选取2015年9月-2017年10月笔者所在医院收治的82例膀胱癌患者参与本次研究。依据接受手术治疗的方法不同分为观察组和对照组。观察组41例，男22例，女19例，年龄42～75岁，平均(56.28±6.36)岁，病理分型：1例非尿路上皮细胞癌，40例膀胱尿路上皮细胞癌。对照组41例，男21例，女20例，年龄43～75岁，平均(57.59±6.14)岁，病理分型：2例非尿路上皮细胞癌，39例膀胱尿路上皮细胞癌。两组各项基本资料比较差异均无统计学意义(P>0.05)。本研究经笔者所在医院伦理委员会批准。, 百拇医药(李斌 黄德亮)
【关键词】 膀胱癌； 腹腔镜； 开放手术； 根治性膀胱切除术
doi：10.14033/j.cnki.cfmr.2018.18.017 文献标识码 B 文章编号 1674-6805(2018)18-00-03
Clinical Efficacy of Laparoscopic and Open Surgery Radical Cystectomy in the Treatment of Bladder Cancer/LI Bin，HUANG Deliang.//Chinese and Foreign Medical Research，2018，16(18)：-43
【Abstract】 Objective： To compare the different effects of laparoscopic and open surgery radical cystectomy(RC) in patients with bladder cancer.Method：From September 2015 to October 2017，82 cases of bladder cancer in the author’s hospital were selected and divided into observation group and control group according to different surgical treatment mode.The observation group received laparoscopic surgery，while the control group received open surgery.The treatment effect，operation condition and complications of the two groups were compared.Result：The total effective rate in the observation group was 95.12%，which was significantly higher than 73.17% in the control group，the difference was statistically significant(字2=5.632 8，P<0.05).The amount of intraoperative blood loss in the observation group was lower than that in the control group，postoperative intestinal recovery time and hospitalization time were shorter than those in the control group，the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 7.32%，which was lower than 26.83% in the control group，the difference was statistically significant(字2=8.629 7，P<0.05).Conclusion：Laparoscopic surgery for bladder cancer can achieve the same effect as open surgery，and laparoscopic surgery can reduce trauma and reduce the incidence of postoperative complications，so it can be popularized in clinical practice.
【Key words】 Bladder cancer； Laparoscopy； Open surgery； Radical cystectomy
First-author’s address：Jingzhou Traditional Chinese Medicine Hospital，Jingzhou 434000，China
隨着研究的深入，医学技术的进步，应用于临床恶性肿瘤治疗的手术方式逐渐增多，微创手术的应用逐渐广泛。本研究比较了2015年9月-2017年10月笔者所在医院应用开放手术、腹腔镜根治性膀胱切除术(RC)治疗82例膀胱癌患者的效果，现报道如下。
1 资料与方法
1.1 一般资料
选取2015年9月-2017年10月笔者所在医院收治的82例膀胱癌患者参与本次研究。依据接受手术治疗的方法不同分为观察组和对照组。观察组41例，男22例，女19例，年龄42～75岁，平均(56.28±6.36)岁，病理分型：1例非尿路上皮细胞癌，40例膀胱尿路上皮细胞癌。对照组41例，男21例，女20例，年龄43～75岁，平均(57.59±6.14)岁，病理分型：2例非尿路上皮细胞癌，39例膀胱尿路上皮细胞癌。两组各项基本资料比较差异均无统计学意义(P>0.05)。本研究经笔者所在医院伦理委员会批准。, 百拇医药(李斌 黄德亮)