首页|经尿道膀胱肿瘤二次电切对非肌层浸润性膀胱癌的疗效分析

经尿道膀胱肿瘤二次电切对非肌层浸润性膀胱癌的疗效分析

扫码查看
目的 探讨对非肌层浸润性膀胱癌患者应用经尿道膀胱肿瘤二次电切术的疗效.方法 选择于医院接受治疗的124例非肌层浸润性膀胱癌患者,入选时间为2022年2月至2024年1月,根据随机数表法分组,对照组64例接受经尿道膀胱肿瘤电切术,观察组60例接受经尿道膀胱肿瘤二次电切术.观察两组患者手术指标、免疫指标及复发情况.结果 两组术中出血量、手术时间、留置尿管时间比较,P>0.05.治疗前,两组IgA、IgG、CD4+、CD8+、CD4+/CD8+比较,P>0.05;治疗后,观察组CD8+较对照组低,IgA、IgG、CD4+、CD4+/CD8+均较对照组高,P<0.05.观察组复发率为8.33%(5/60),对照组复发率为21.88%(14/64),两组比较,P<0.05.结论 经尿道膀胱肿瘤二次电切术疗效较好,能有效改善非肌层浸润性膀胱癌患者免疫功能,同时减少远期复发.
Analysis of the Efficacy of Secondary Electric Resection of Transurethral Bladder Tumors in Non-myometrial Invasive Bladder Cancer
Objective:To investigate the efficacy of secondary electroresection of transurethral bladder tumors in pa-tients with non-myoinvasive bladder cancer.Methods:One hundred and twenty-four patients with non-myome-trial invasive bladder cancer who were treated in the hospital from February 2022 to January 2024 were randomly divided into two groups.64 patients in the control group received transurethral resection of bladder tumor,and 60 patients in the observation group received transurethral resection of bladder tumor.Observe the surgical index,im-mune index and recurrence of the two groups.Results:The blood loss,operation time and indwelling catheter time between the two groups were compared,P>0.05.Before treatment,IgA、IgG、CD4+、CD8+and CD4+/CD8+were compared between the two groups,P>0.05;After treatment,IgA、IgG、CD4+and CD4+/CD8+in the ob-servation group were higher than those in the control group,while CD8+was lower than that in the control group,P<0.05.The recurrence rate of the observation group was 8.33%(5/60),while that of the control group was 21.88%(14/64),and the comparison between the two groups was P<0.05.Conclusion:The curative effect of sec-ondary electric resection of urinary bladder tumor is good,which can effectively improve the immune function of pa-tients with non-muscle layer invasive bladder cancer,and reduce the long-term recurrence.

Transurethral resection of bladder tumorNnon-muscular invasive bladder cancerSecondary tran-surethral resection of bladder tumor

冯铮、摆玉江、吕志勇

展开 >

宁夏医科大学总医院泌尿外科,宁夏 银川 750004

同心县人民医院外三科,宁夏 吴忠 751300

经尿道膀胱肿瘤电切术 非肌层浸润性膀胱癌 经尿道膀胱肿瘤二次电切术

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(6)