CAJ | 학술논문

目的：观察分析经尿道2μm 激光膀胱部分切除术后是否存在膀胱内液体外渗。方法：2008年10月~2013年10月，选取35例接受经尿道2μm 激光膀胱部分切除术进行治疗的膀胱癌患者，术后给予患者经直肠(阴道)超声检查，了解是否存在膀胱内液体外渗。结果：所有患者在骶管麻醉下均可耐受经尿道2μm 激光膀胱部分切除术。术后通过经直肠(阴道)超声检查发现2例患者直肠陷窝存在低回声影，确诊为腹膜穿孔1例，盆腔尿外渗1例，均给予手术引流治疗，其余患者能有效的保持膀胱壁的连续性。结论：通过术后经直肠(阴道)超声检查证实：经尿道2μm激光膀胱部分切除术治疗膀胱肿瘤，可以有效保持膀胱壁的连续性，操作精细，不易出现膀胱穿孔现象。
목적：관찰분석경뇨도2μm 격광방광부분절제술후시부존재방광내액체외삼。방법：2008년10월~2013년10월，선취35례접수경뇨도2μm 격광방광부분절제술진행치료적방광암환자，술후급여환자경직장(음도)초성검사，료해시부존재방광내액체외삼。결과：소유환자재저관마취하균가내수경뇨도2μm 격광방광부분절제술。술후통과경직장(음도)초성검사발현2례환자직장함와존재저회성영，학진위복막천공1례，분강뇨외삼1례，균급여수술인류치료，기여환자능유효적보지방광벽적련속성。결론：통과술후경직장(음도)초성검사증실：경뇨도2μm격광방광부분절제술치료방광종류，가이유효보지방광벽적련속성，조작정세，불역출현방광천공현상。
Objective:To obverse the leakage of fluid in the bladder of bladder tumor patients who received tran-surethralpartialcystectomyby2 μmcontinuouswavelaser.Methods:FromOctober2008toOctober2013,35cases of bladder carcinoma were treated with 2 μmlaser transurethrally under sacral block.The leakage of fluid in the bladder was obversed bytransrectal ultrasound or transvaginal ultrasound.Results:Transurethral partial cystectomy inthetreatmentofbladdertumorby2 μmcontinuous wavelaser wassafe,efficientandeffective.Onecasehadurine leakage and one case had peritoneumperforationinspected bytransrectal ultrasound or transvaginal ultrasound.Con-clusions:Inspected by transrectal ultrasound or transvaginal ultrasound after operation ,the integrity of the bladder wallcanberetainedfinely,andbladderperforationoccursseldom.