中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2012年
8期
622-626
,共5页
张振声%许传亮%吴承耀%杨波%罗睿%王海峰%王洋%邓震%唐亮%孙颖浩
張振聲%許傳亮%吳承耀%楊波%囉睿%王海峰%王洋%鄧震%唐亮%孫穎浩
장진성%허전량%오승요%양파%라예%왕해봉%왕양%산진%당량%손영호
电子膀胱软镜%膀胱%猪%模型,动物
電子膀胱軟鏡%膀胱%豬%模型,動物
전자방광연경%방광%저%모형,동물
Flexible ultrasonic cystoscopy%Urinary bladder%Swine%Models,animal
目的 探讨超声电子膀胱软镜应用于泌尿系疾病诊疗的可行性. 方法 采用1 ～2岁雌性巴马香猪4只为实验模型,以超声支气管镜为雏形,通过B超模式观察不同膀胱充盈量下膀胱各层结构声像图,通过彩色多普勒超声模式观察膀胱周围重要血管的声像图,初步总结超声电子膀胱软镜的操作技巧和难点.采用专用一次性抽吸式活检针进行内镜超声引导下分层定位穿刺活检,活检组织送病理以验证超声分层定位的准确性,探讨超声电子膀胱软镜下穿刺的有效性和安全性. 结果 超声膀胱镜可同步显示内镜图像和超声图像.香猪膀胱充盈90 ml时,超声内镜下膀胱壁黏膜及黏膜下层、肌层、浆膜层层次清晰可辨并有助于穿刺针的分层定位,多普勒超声模式下,膀胱周围血管血流信号明显,超声引导穿刺可避免发生血管及周嗣脏器误伤.16处穿刺点送检组织病理结果与超声分层定位吻合. 结论 超声电子膀胱软镜诊断治疗泌尿系疾病安全可行,配套器械有待进一步改进.
目的 探討超聲電子膀胱軟鏡應用于泌尿繫疾病診療的可行性. 方法 採用1 ～2歲雌性巴馬香豬4隻為實驗模型,以超聲支氣管鏡為雛形,通過B超模式觀察不同膀胱充盈量下膀胱各層結構聲像圖,通過綵色多普勒超聲模式觀察膀胱週圍重要血管的聲像圖,初步總結超聲電子膀胱軟鏡的操作技巧和難點.採用專用一次性抽吸式活檢針進行內鏡超聲引導下分層定位穿刺活檢,活檢組織送病理以驗證超聲分層定位的準確性,探討超聲電子膀胱軟鏡下穿刺的有效性和安全性. 結果 超聲膀胱鏡可同步顯示內鏡圖像和超聲圖像.香豬膀胱充盈90 ml時,超聲內鏡下膀胱壁黏膜及黏膜下層、肌層、漿膜層層次清晰可辨併有助于穿刺針的分層定位,多普勒超聲模式下,膀胱週圍血管血流信號明顯,超聲引導穿刺可避免髮生血管及週嗣髒器誤傷.16處穿刺點送檢組織病理結果與超聲分層定位吻閤. 結論 超聲電子膀胱軟鏡診斷治療泌尿繫疾病安全可行,配套器械有待進一步改進.
목적 탐토초성전자방광연경응용우비뇨계질병진료적가행성. 방법 채용1 ～2세자성파마향저4지위실험모형,이초성지기관경위추형,통과B초모식관찰불동방광충영량하방광각층결구성상도,통과채색다보륵초성모식관찰방광주위중요혈관적성상도,초보총결초성전자방광연경적조작기교화난점.채용전용일차성추흡식활검침진행내경초성인도하분층정위천자활검,활검조직송병리이험증초성분층정위적준학성,탐토초성전자방광연경하천자적유효성화안전성. 결과 초성방광경가동보현시내경도상화초성도상.향저방광충영90 ml시,초성내경하방광벽점막급점막하층、기층、장막층층차청석가변병유조우천자침적분층정위,다보륵초성모식하,방광주위혈관혈류신호명현,초성인도천자가피면발생혈관급주사장기오상.16처천자점송검조직병리결과여초성분층정위문합. 결론 초성전자방광연경진단치료비뇨계질병안전가행,배투기계유대진일보개진.
Objective To innovate and improve the feasibility of flexible ultrasonic cystoscopy (FUCS) in the diagnosis and treatment for urinary tract diseases in vivo by using female pigs as animal model.Methods Endobronchial ultrasonography was took as a substitute for FUCS and the operating skills and experience of FUCS in vivo by using female pigs as animal model were summarized,in order to testify the efficacy and safety of needle biopsy guided by FUCS.Results FUCS could simultaneously display the endoscopic images and ultrasonic images.Ninety ml was suitable in pig bladder for FUCS when the layers of bladder wall were clear.The mucosa,submucosa,muscularis and serosa layers were legible,which contributed to the needle positioning biopsy.Doppler ultrasound mode could distinguish the vessels,which could guide the puncture and avoid accidental injury of blood vessels and surrounding organs.Pathological results of positioning biopsy were consistent with FUCS evaluation for the three major layers of bladder wall.Conclusion Studies in vivo show that application of FUCS in the diagnosis and treatment for bladder disease is feasible,and further improvement of the FUCS equipment and clinical practice should be made.
