中文摘要：

目的 探讨日间手术模式行经尿道膀胱肿瘤切除术（TURBT）的可行性.方法 回顾性分析2010年10月至2013年2月采用TURBT治疗的非肌层浸润性膀胱肿瘤（NMIBC）患者416例的临床资料.日间手术组和住院手术组各208例,比较2组的等待入院时间、手术时间、并发症、医疗费用、住院天数以及肿瘤复发率等指标.结果 日间手术组与住院手术组手术时间、并发症发生率以及肿瘤复发率差异均无统计学意义（P＞0.05）.日间手术组等待入院时间（4.57±3.02）d,明显短于住院手术组（8.54±3.74）d,差异具有统计学意义（P＜0.05）.日间手术组住院时间明显短于住院手术组（7.81±3.42）d,差异具有统计学意义（P＜0.05）.日间手术组人均费用6 236.89元,住院手术组9 562.27元,差异有统计学意义（P＜0.05）.结论 选择合适的患者,经充分术前准备以及严格的术后管理,行TURBT日间手术是安全可行的,能明显减少患者等待入院时间、住院时间以及住院费用,且疗效与住院手术相当.

英文摘要：

Objective To explore the feasibility of day surgery of transurethral resection of bladder tumors （TURBT）. Methods Clinical data of 416 patients with non-muscle invasive bladder cancer （NMIBC）treated with TURBT during Oct. 2010 to Feb. 2013 were retrospectively reviewed. Half of the patients （208）received day surgery and another half inpatient surgery. The time of waiting to be admitted, operative time, complications, hospitalization costs, in-hospital days and the rate of tumor recurrence between the two groups were compared. Results There were no significant differences in the mean operative time, complication rate and tumor recurrence rate between the two groups （P〈0.05）. The mean time of waiting to be admitted for the day surgery group was statistically shorter than that for the inpatient surgery group. Patients in the day surgery group paid statistically less than the inpatients （6 236.89 vs. 9 562.27, P〈0.05）. Conclusions Day surgery of TURBT is safe and feasible, which shortens the time of waiting to be admitted, and in-hospital days, and decreases hospitalization costs.