腹腔镜下膀胱癌根治术48例临床研究(1)
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[摘要] 目的 探讨腹腔镜下进行膀胱癌根治性切除的安全性和疗效。方法 回顾性分析2009年10月～2011年10 月在我院采用腹腔镜下行膀胱癌根治术的48例膀胱癌患者的临床资料，将此48例患者作为观察组，将同期采用传统手术治疗的48例患者作为对照组，比较两组患者的手术时间、术中出血量、住院时间，观察术后尿漏、肠粘连、感染的发生例数。 结果 观察组手术时间(7.2±1.7) h，术中出血量(742.5±69.5) mL，住院时间(8.6±3.2) d，术后发生尿漏3例，肠粘连2例，感染3例；对照组分别为(8.9±2.4) h、(864.2±112.6) mL、(14.1±5.3) d、14、13、11例。两组比较差异有统计学意义(P < 0.05)。 结论 腹腔镜下膀胱癌根治术治疗膀胱癌具有手术创伤小、患者术后恢复快等优点，值得临床研究推广。
[关键词] 膀胱癌；腹腔镜；复发率；并发症
[中图分类号] R737.14 [文献标识码] B [文章编号] 1673—9701(2012)26—0130—02
Clinical research on 48 cases of laparoscopic bladder cancer
HU Shaojun1 CHEN Yuedong2 ZHOU Zhongquan2
1.Department of Surgery，the Gulangyu Branch of the Affiliated First Hospital of Xiamen University，Xiamen 361000，China；2.Department of Urological Surgery，the Affiliated First Hospital of Xiamen University，Xiamen 361000，China
[Abstract] Objective To probe the safety and efficacy of bladder cancer by laparoscopic radical excision. Methods Retrospective analysis from October 2009 to October 2011 48 descending bladder cancer patients by our laparoscopic radical excision with bladder cancer clinical material，and the same period under the traditional surgical treatment of 48 patients as control group，compared with two groups of patient’s operation time，peri—operative bleeding，the length of time. Results The observation group’s operation time was (7.2±1.7) h，peri—operative bleeding was (742.5±69.5) mL，the length of time was (8.6±3.2)d，the control group’s were (8.9±2.4) h，(864.2±112.6) mL and (14.1±5.3) d，the comparative differences between groups were statistically significant(P < 0.01). Conclusion Bladder cancer treat with Laparoscopic cystectomy possess small trauma， fast postoperative recovery and other advantages，is worth clinicaling research promotion.
[Key words] Bladder cancer；Laparoscopic；Recurrence rate；Complications
膀胱癌是临床常见病，其发病是一个多因素混合、多基因参与、多步骤形成的过程，异常基因型的积累加上外在环境的作用最终导致恶性表型的出现[1]，分为原发性和继发性两种。膀胱腺癌在临床并不多见，主要发生在膀胱上皮组织，可分为黏液性或腺性等 ......
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