经尿道膀胱肿瘤电切术与膀胱部分切除术治疗浅表性膀胱癌

目的观察经尿道膀胱肿瘤电切（TURBT）术与膀胱部分切除术治疗浅表性膀胱癌的临床疗效。方法选择92例T1T2膀胱肿瘤患者分为2组，观察组43例行TURBT术，对照组49例行膀胱部分切除术，观察2组患者手术时间、术中出血量、导尿管留置时间、住院时间、术后并发症发生率及5a复发率。结果观察组患者手术时间（42．7±5．8）min，术中出血量（51．9±11．2）mL，导尿管留置时间（2．2±0．4）d，住院时间（5．6±1．1）d；对照组患者分别为（88．9±6．5）min，（98．6±30．3）mL，（4．8±0．9）d，（11．7±1．2）d，2组各指标比较差异均有统计学意义（P〈0．05）。观察组患者术后并发症发生率为2．3％，低于对照组的16．3％，差异有统计学意义（P〈0．05）。观察组患者5a复发率为27．9％，对照组患者5a复发率为28．6％，2组比较差异无统计学意义（P〉0．05）。结论TURBT术与膀胱部分切除术治疗浅表性膀胱癌5a复发率相当，但TURBT术具有手术时间短、创伤小、出血量少、恢复快、并发症发生率低的优点。

Curative effect of transurethral resection of bladder tumor and partial resection of bladder for treat- ment of superficial bladder cancer

Objective To observe the curative effect of transurethral resection of bladder tumor （TURBT） and partial resection of bladder for treatment of superficial bladder cancer. Methods A total of 92 patients with T1T2 bladder neoplasm were selected and divided into two groups. Forty-three patients in observation group were treated with TURBT and 49 patients in control group were treated with partial resection of bladder. The operative time, blood loss, catheterization time, hospital stay, incidence of postoperative complication and 5-year recurrence rate of two groups were observed and compared. Results The operative time, blood loss, catheterization time, hospital stay of observation group were （ 42.7± 5.8 ） rain, （ 51.9 ± 11.2 ） mL, （ 2.2 ±0.4 ） days and （ 5.6 ±1.1 ） days, and in control group were （ 88.9 ± 6.5 ） min, （ 98.6 ±30.3 ） mL, （4.8±0.9 ） days and （11.7 ±1.2）days respectively;there were statistic significance of the indicators between the two groups（ P 〈 0.05 ）. The inci- dence of postoperative complication in observation group（2.3% ） was significantly lower than that in control group（ 16.3% ） （ P 〈0.05 ）. The 5-year recurrence rates in observation group and control group were 27.9% and 28.6% ,there was no signifi- cant difference between the two groups （ P 〉 0.05 ）. Conclusion This study shows that the TURBT and partial resection of bladder have the similar 5-year recurrence rate. But TURBT has the advantage of shorter operative time, less trauma,less bleed- ing, faster recovery and low incidence of postoperative complication.