發(fā)布時(shí)間：2019-04-03 19:16

【摘要】：目的分析經(jīng)尿道綠激光汽化術(shù)與雙極等離子電氣化術(shù)治療淺表性膀胱腫瘤的臨床效果。方法選擇在該院接受住院治療的淺表性膀胱腫瘤患者作為研究對(duì)象,隨機(jī)分為接受雙極等離子電氣化術(shù)的對(duì)照組、接受經(jīng)尿道綠激光汽化術(shù)的觀察組,比較兩組患者的手術(shù)相關(guān)指標(biāo)、手術(shù)并發(fā)癥及圍術(shù)期應(yīng)激反應(yīng)水平差異。結(jié)果觀察組患者接受治療的手術(shù)時(shí)間、術(shù)后留置導(dǎo)尿時(shí)間及住院時(shí)間均短于對(duì)照組(P0.05)。觀察組患者接受治療后的膀胱痙攣、閉孔神經(jīng)反射、膀胱穿孔、尿路感染和術(shù)后再出血等并發(fā)癥發(fā)生率均明顯低于對(duì)照組患者(P0.05)。觀察組患者手術(shù)治療過程中及術(shù)后6 h的腎上腺素(E)、去甲腎上腺素(NE)以及血管緊張素Ⅱ(ATⅡ)水平均明顯低于對(duì)照組(P0.05)。結(jié)論經(jīng)尿道綠激光汽化術(shù)用于淺表性膀胱腫瘤患者的治療,可以優(yōu)化手術(shù)過程、減少術(shù)后并發(fā)癥發(fā)生、降低圍術(shù)期應(yīng)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，

本文編號(hào)：2453485