输尿管镜下肿瘤切除术治疗上尿路肿瘤的临床效果

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Abstract Objective To study clinical effect of ureteroscopic tumor resection in the treatment of upper urinary tract tumor. Methods Ninety-six patients with upper urinary tract tumor admitted to the First Affiliated Hospital of Hebei North University from April 2014 to April 2016 were included and divided into two groups according to the random number table, 48 cases in each group. Control group were treated with traditional open surgery, and observation group were treated with ureteroscopic tumor resection. The operation, quality of life, pain and complications between two groups were observed. The patients were followed up for one, two, three years. Results The operation time, first anal exhaust time, extubation time and hospitalization time of observation group were shorter than those of control group, and the amount of bleeding of observation group was less than that of control group, the differences were statistically significant (P < 0.05). After operation, ADL score of two groups was higher than that before operation, and VAS of two groups was lower than that before operation, ADL score of observation group was higher than that of control group, and VAS of observation group was lower than that of control group (P < 0.05). The incidence rate of complication in observation group was lower than that in control group (P < 0.05). There was no significant difference in one, two, three year survival rate between two groups (P > 0.05). Conclusion The effect of ureteroscopic resection for upper urinary tract tumor is similar to that of open surgery, but with good postoperative care, it can significantly improve the quality of life, relieve pain, shorten the recovery time, and have high safety.

Key words： Ureteroscopic tumor resection Upper urinary tract tumor Open surgery Nursing effect

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	LEI Ruru ZHANG Xiaolin LIU Lijie CHEN Huai’an

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LEI Ruru ZHANG Xiaolin LIU Lijie CHEN Huai’an. Clinical effect of ureteroscopic tumor resection in the treatment of upper urinary tract tumor[J]. 中国医药导报, 2021, 18(3): 67-70.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I3/67

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