原创《腹腔镜膀胱癌根治术治疗膀胱癌26例临床观察》：本文关于临床观察论文范文,可以做为相关论文参考文献,与写作提纲思路参考。
[摘 要] 目的 研究腹腔镜膀胱癌根治术治疗膀胱癌的手术效果. 方法 选取2016年1月～2017年1月我院应用腹腔镜膀胱癌根治术治疗的膀胱癌患者26例为腹腔镜组,另选择同期行开放性根治性膀胱切除术患者20例作为对照组.比较两组的手术时间、平均出血量、术后肠功能恢复时间、住院时间及并发症情况.并发症主要包括切口感染、术后出血、肠梗阻、尿失禁、切口脂肪液化. 结果 腹腔镜组患者的手术时间与对照组比较无显著性差异,而腹腔镜组患者的平均出血量明显少于对照组,术后肠功能恢复时间、住院时间短于对照组,差异具有显著性（P<0.05）.腹腔镜组术后无一例出现切口感染、尿失禁、切口脂肪液化,其并发症的发生率7.7%,显著低于对照组,差异具有显著性（P<0.05）. 结论 腹腔镜膀胱癌根治术治疗膀胱癌具有较好的临床手术效果及安全性,较传统开放性手术具有出血少、并发症少、术后恢复快等优势,值得广泛推广和应用.
[关键词] 膀胱癌；腹腔镜膀胱癌根治术；开放性根治性膀胱切除术；并发症
[中图分类号] R737.14 [文献标识码] B [文章编号] 1673-9701（2018）04-0061-03
[Abstract] Objective To study the surgical effect of laparoscopic radical cystectomy in the treatment of bladder cancer. Methods 26 patients with bladder cancer treated with laparoscopic radical cystectomy in our hospital from January 2016 to January 2017 were selected as laparoscopic group. Another 20 patients undergoing open radical cystectomy at the same period were selected as control group. The operation time, mean amount of bleeding, recovery time of intestinal function, hospitalization time and complications between the two groups were compared. Complications included incision infection, postoperative bleeding, intestinal obstruction, urinary incontinence, incision fat liquefaction. Results There was no significant difference in operative time between patients in laparoscopic group and control group. The mean bleeding volume of laparoscopic group was significantly less than that of control group. The recovery time of intestinal function and hospitalization time was shorter than that of control group, and the difference was significant between two groups（P<0.05）. No incision infection, urinary incontinence and incision fat liquefaction occurred in the laparoscopic group. The incidence of complications was 7.7% in the laparoscopic group, which was significantly lower than that of the control group（P<0.05）. Conclusion Laparoscopic radical cystectomy has better clinical effect and safety in treating bladder cancer and has the advantages of less bleeding, less complications and quick recovery after operation compared with traditional open surgery, which is worth popularizing and applying widely.
[Key words] Bladder cancer； Laparoscopic radical cystectomy； Open radical cystectomy； Complications
膀胱癌是泌尿系統常见的恶性肿瘤之一,近年来随着人们生活方式的改变、环境污染及人口老龄化的出现,使其发病率逐年增加.膀胱癌根治术是常用治疗方法之一[1,2].根治性膀胱切除术（radical cystectomy,RC）同时行盆腔淋巴结清扫术,是肌层浸润性膀胱癌的标准治疗,是提高浸润性膀胱癌患者生存率、避免局部复发和远处转移的有效治疗方法.其中,传统开放性根治性膀胱切除术创伤大,术后并发症多,患者术后恢复慢.近年来,随着微创技术的不断发展,腹腔镜膀胱癌根治术以其创伤小、术后恢复快、并发症少等优点逐渐应用于临床.现报道如下.
临床观察论文参考资料：
结论：腹腔镜膀胱癌根治术治疗膀胱癌26例临床观察为大学硕士与本科临床观察毕业论文开题报告范文和相关优秀学术职称论文参考文献资料下载，关于免费教你怎么写临床观察方面论文范文。
