中华腔镜泌尿外科杂志（电子版）
中華腔鏡泌尿外科雜誌（電子版）
중화강경비뇨외과잡지（전자판）
CHINESE JOURNAL OF ENDOUROLOGY(ELECTRONIC VERSION)
2012年
2期
42-45
,共4页
岳明宗%单玉喜%高洁%刘晓龙
嶽明宗%單玉喜%高潔%劉曉龍
악명종%단옥희%고길%류효룡
选择性绿激光%钬激光%电切%腺性膀胱炎
選擇性綠激光%鈥激光%電切%腺性膀胱炎
선택성록격광%화격광%전절%선성방광염
Electric Incision%Holmium Laser%,Photoselective Vaporization%Cystitis glandularis
目的 比较经尿道电切术、钬激光术及选择性绿激光术治疗腺性膀胱炎的安全性和疗效.方法 105例经膀胱镜病理活检证实的腺性膀胱炎患者,其中经尿道电切治疗30例,钬激光治疗33例,经尿道选择性绿激光治疗42例,术后均予以常规丝裂霉素膀胱灌注化疗,对手术时间、术中出血、术后导尿管放置时间、手术并发症及随访1年病情变化进行比较分析.结果 钬激光组、绿激光组的手术时间、术中出血量、留置导尿时间、手术并发症例数方面明显优于电切组,差异有统计学意义(P＜0.05);术后1年疗效比较,钬激光组、绿激光组的治愈率、有效率、术后复发率明显优于电切组,差异有统计学意义(P＜0.05).结论 经尿道钬激光、选择性绿激光结合丝裂霉素膀胱灌注治疗腺性膀胱炎手术比经尿道电切联合丝裂霉素疗法复发率低,疗效满意.钬激光、绿激光均是治疗腺性膀胱炎的理想的工具.
目的 比較經尿道電切術、鈥激光術及選擇性綠激光術治療腺性膀胱炎的安全性和療效.方法 105例經膀胱鏡病理活檢證實的腺性膀胱炎患者,其中經尿道電切治療30例,鈥激光治療33例,經尿道選擇性綠激光治療42例,術後均予以常規絲裂黴素膀胱灌註化療,對手術時間、術中齣血、術後導尿管放置時間、手術併髮癥及隨訪1年病情變化進行比較分析.結果 鈥激光組、綠激光組的手術時間、術中齣血量、留置導尿時間、手術併髮癥例數方麵明顯優于電切組,差異有統計學意義(P＜0.05);術後1年療效比較,鈥激光組、綠激光組的治愈率、有效率、術後複髮率明顯優于電切組,差異有統計學意義(P＜0.05).結論 經尿道鈥激光、選擇性綠激光結閤絲裂黴素膀胱灌註治療腺性膀胱炎手術比經尿道電切聯閤絲裂黴素療法複髮率低,療效滿意.鈥激光、綠激光均是治療腺性膀胱炎的理想的工具.
목적 비교경뇨도전절술、화격광술급선택성록격광술치료선성방광염적안전성화료효.방법 105례경방광경병리활검증실적선성방광염환자,기중경뇨도전절치료30례,화격광치료33례,경뇨도선택성록격광치료42례,술후균여이상규사렬매소방광관주화료,대수술시간、술중출혈、술후도뇨관방치시간、수술병발증급수방1년병정변화진행비교분석.결과 화격광조、록격광조적수술시간、술중출혈량、류치도뇨시간、수술병발증례수방면명현우우전절조,차이유통계학의의(P＜0.05);술후1년료효비교,화격광조、록격광조적치유솔、유효솔、술후복발솔명현우우전절조,차이유통계학의의(P＜0.05).결론 경뇨도화격광、선택성록격광결합사렬매소방광관주치료선성방광염수술비경뇨도전절연합사렬매소요법복발솔저,료효만의.화격광、록격광균시치료선성방광염적이상적공구.
Objective To evaluate the clinical safety and efficacy of transurethral electric incision,holmium laser incision and photoselective vaporization in the treatment of cystitis glanularis. Methods From January 2005 to January 2010,105 cases with cystitis glanularis diagnosed by pathology were treated with transurethral electric incision,holmium laser incision and photoselective vaporization.The parameters including operation time,blood loss,indwelling cather time,complications,curing rate,effective rate and recurrence rate were analyzed.Results Compared with the electric incision group,the mean operation time and indwelling cather time were significantly shorter in holmium laser and photoselective vaporization group (P＜0.05).The blood loss was significantly less in holmium laser and photoselective vaporization group (P＜0.05).The curing rate and the effective rate of the holmium laser and photoselective vaporization group was significantly higher and the recurrence rate was significantly lower than that in the electric incision group (P＜0.05).Conclusions Transurethral holmium laser incision and photoselective vaporization are effective and ideal methods for the treatment of cystitis glandularis.
