经尿道绿激光汽化术与双极等离子电气化术治疗浅表性膀胱肿瘤的比较研究

发布时间：2019-04-03 19:16

【摘要】：目的分析经尿道绿激光汽化术与双极等离子电气化术治疗浅表性膀胱肿瘤的临床效果。方法选择在该院接受住院治疗的浅表性膀胱肿瘤患者作为研究对象,随机分为接受双极等离子电气化术的对照组、接受经尿道绿激光汽化术的观察组,比较两组患者的手术相关指标、手术并发症及围术期应激反应水平差异。结果观察组患者接受治疗的手术时间、术后留置导尿时间及住院时间均短于对照组(P0.05)。观察组患者接受治疗后的膀胱痉挛、闭孔神经反射、膀胱穿孔、尿路感染和术后再出血等并发症发生率均明显低于对照组患者(P0.05)。观察组患者手术治疗过程中及术后6 h的肾上腺素(E)、去甲肾上腺素(NE)以及血管紧张素Ⅱ(ATⅡ)水平均明显低于对照组(P0.05)。结论经尿道绿激光汽化术用于浅表性膀胱肿瘤患者的治疗,可以优化手术过程、减少术后并发症发生、降低围术期应激水平。
[Abstract]:Objective to analyze the clinical effects of transurethral green laser vaporization and bipolar plasma electrification in the treatment of superficial bladder tumors. Methods the patients with superficial bladder tumor who were hospitalized in the hospital were randomly divided into two groups: the control group received bipolar plasma electrovaporization, the observation group received transurethral green laser vaporization, the control group received transurethral green laser vaporization, and the other group received transurethral green laser vaporization. The operative related indexes, operative complications and perioperative stress response were compared between the two groups. Results the operation time, postoperative indwelling catheterization time and hospitalization time of the patients in the observation group were shorter than those in the control group (P0.05). The incidence of complications such as bladder spasm, obturator nerve reflex, bladder perforation, urinary tract infection and postoperative rebleeding in the observation group was significantly lower than that in the control group (P0.05). The levels of adrenaline (E), norepinephrine (NE) and angiotensin 鈪，

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