首页|保留膀胱综合治疗与根治性膀胱切除术用于浸润性膀胱癌的比较分析

保留膀胱综合治疗与根治性膀胱切除术用于浸润性膀胱癌的比较分析

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目的 探究对于浸润性膀胱癌患者实施保留膀胱综合治疗与根治性膀胱切除术的作用。方法 选取2016年4月—2023年5月本院收治的70例浸润性膀胱癌患者为研究对象,采用随机数分组法分成参照组和实验组,每组35例。参照组使用根治性膀胱切除术,试验组使用保留膀胱综合治疗。针对两组患者手术相关指标、术后并发症发生情况、生活质量、1年内复发率及生存率进行综合分析。结果 试验组患者手术时间、膀胱冲洗时间、导尿管留置时间及住院时间均短于参照组,术中出血量少于参照组,各项生活质量评分均高于参照组,并发症发生率低于参照组,1年内复发率明显低于参照组,组间差异有统计学意义(P<0。05);两组患者1年内生存率基本无差异,组间差异无统计学意义(P>0。05)。结论 对比根治性膀胱切除术,浸润性膀胱癌应用保留膀胱综合治疗能有效降低出血量,缩短术后康复进程,提升患者生活质量,减少术后并发症,两种方法对1年内患者生存率基本无影响。
A Comparative Analysis of Bladder Preservation Combined Treatment and Radical Cystectomy for Invasive Bladder Cancer
Objective To explore the effect of cystectomy and cystectomy in patients with invasive bladder cancer.Methods The study subjects were selected from 70 patients with invasive bladder cancer admitted to our hospital from April 2016 to May 2023.They were divided into two groups by random number grouping method.Patients receiving radical cystectomy were defined as the reference group,and those receiving vesical-preserving comprehensive therapy were defined as the experimental group.35 patients were included in both groups.Comprehensive analysis was conducted on surgery-related indicators,postoperative complications,quality of life,recurrence rate within one year and survival rate of patients in both groups.Results The operation time,bladder irrigation time,catheter indwelling time and hospitalization time of experimental group were shorter than that of the reference group,and the intraoperative blood loss was less than that of the reference group The scores of quality of life were higher than those of the reference group.The complication rate(5.71%)was lower than that of the reference group(28.57%),and the recurrence rate within one year(2.86%)was significantly lower than that of the reference group(22.86%),P<0.05,and the inter-group values were statistically significant:there was basically no difference in the one year survival rate between the two groups,P>0.05,and the inter-group values were not statistically significant.Conclusion Compared with radical cystectomy,comprehensive treatment with bladder preservation for invasive bladder cancer can effectively reduce blood loss,shorten postoperative rehabilitation process,improve quality of life,and reduce postoperative complications.The two methods have no effect on the survival rate of patients within one year.

Bladder preservation comprehensive treatmentRadical cystectomyInvasive bladder cancer

罗嘉伟、林大森、林宇腾

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惠州市第三人民医院,广东 惠州 516001

保留膀胱综合治疗 根治性膀胱切除术 浸润性膀胱癌

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(4)
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