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经尿道钬激光膀胱部分切除术与膀胱肿瘤电切术的护理比较
引用本文:金莉娟. 经尿道钬激光膀胱部分切除术与膀胱肿瘤电切术的护理比较[J]. 中国医药, 2011, 6(7): 884-885. DOI: 10.3760/cma.j.issn.1673-4777.2011.07.063
作者姓名:金莉娟
作者单位:首都医科大学附属北京友谊医院中心手术室,100050
摘    要:目的 对比经尿道钬激光膀胱部分切除术与膀胱肿瘤电切术的护理.方法 将膀胱肿瘤需行手术治疗的88例患者按手术方法不同分为钬激光肿瘤治疗组(钬激光组)45例和经尿道膀胱肿瘤电切术(TURBt组)43例,统计并分析手术时间、术后持续膀胱冲洗时间、膀胱痉挛发生次数、手术后住院日等.结果 钬激光组患者术中出血量、术后住院天数、持续膀胱冲洗时间、术后留置尿管时间和膀胱痉挛发生次数等方面均优于TURBt组患者[分别为(4.8±4.6)ml比(10.2±4.9)ml;(1.1±1.0)d比(1.8±1.1)d;(3.1±1.2)d比(6.0±1.3)d;(5.0±1.6)d比(5.9±1.4)d;(1.5±1.1)次比(5.0±2.4)次].结论 经尿道钬激光膀胱部分切除术具有创伤小、出血少、恢复快等优势,在治疗效果相近的前提下减轻了患者的痛苦,降低了护理难度,提高了医疗护理工作效率.
Abstract:
Objective To compare the pest operative nursing outcomes between holmium laser resection and transurethral resection of bladder tumors. Methods Totally 45 cases were randomly assigned to undergo holmiam laser resection of bladder tumors (HoLRBT) and 43 cases had standard transurethral resection. The operationtime, duration of bladder rinse,frequency of vesical hyperkinesia, the time of post operational hospital stay were statistically analyzed.Results Peri-operative bleeding and postoperative hospitalization days,continuous bladderdouche time,postoperative placing a urinary catheter time and bladder seizure OCCUrs in holmium laser group were 1.0)d vs(1.8±1.1)d;(3.1±1.2)d vs(6.0±1.3)d;(5.0±1.6)d vs(5.9±1.4)d;(1.5±1.1)times vs and the difficulty of nursing,which may improve the working efficiency of medical treatment and nursing.

关 键 词:膀胱肿瘤  钬激光  电切  护理

Nursing experience of holmium laser resection and transurethral resection of superficial bladder carcinoma
JIN Li-juan. Nursing experience of holmium laser resection and transurethral resection of superficial bladder carcinoma[J]. China Medicine, 2011, 6(7): 884-885. DOI: 10.3760/cma.j.issn.1673-4777.2011.07.063
Authors:JIN Li-juan
Affiliation:JIN Li-juan( 1.Department of Urology,Beijing Friendship Hospital,Beijing 100050,China;)
Abstract:Objective To compare the pest operative nursing outcomes between holmium laser resection and transurethral resection of bladder tumors. Methods Totally 45 cases were randomly assigned to undergo holmiam laser resection of bladder tumors (HoLRBT) and 43 cases had standard transurethral resection. The operationtime, duration of bladder rinse,frequency of vesical hyperkinesia, the time of post operational hospital stay were statistically analyzed.Results Peri-operative bleeding and postoperative hospitalization days,continuous bladderdouche time,postoperative placing a urinary catheter time and bladder seizure OCCUrs in holmium laser group were 1.0)d vs(1.8±1.1)d;(3.1±1.2)d vs(6.0±1.3)d;(5.0±1.6)d vs(5.9±1.4)d;(1.5±1.1)times vs and the difficulty of nursing,which may improve the working efficiency of medical treatment and nursing.
Keywords:Bladder tumor  Holmium laser  Transurethral bladder tumer resection  Nursing
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