CAJ | 학술논문

目的：观察经尿道2μm激光气化切除术治疗腺性膀胱炎的临床疗效。方法33例腺性膀胱炎患者，在骶管或硬膜外麻醉下应用RevoLix 2μm激光手术系统实施经尿道气化切除术，观察手术时间、术中出血量、术后留置尿管时间及疗效。结果33例患者手术均顺利完成，手术时间15~60min，平均（36.88±11.13）min，术中出血量5~40mL，平均（13.28±7.99）mL。术中无输血，无膀胱穿孔，术后无继发出血病例。术后留置导尿管2~6d，平均（4.31±0.97）d。随访3~24个月，治愈27例，好转6例，无癌变发生。结论经尿道2μm激光治疗腺性膀胱炎是一种安全、有效、操作方便的微创手术方法。
목적：관찰경뇨도2μm격광기화절제술치료선성방광염적림상료효。방법33례선성방광염환자，재저관혹경막외마취하응용RevoLix 2μm격광수술계통실시경뇨도기화절제술，관찰수술시간、술중출혈량、술후류치뇨관시간급료효。결과33례환자수술균순리완성，수술시간15~60min，평균（36.88±11.13）min，술중출혈량5~40mL，평균（13.28±7.99）mL。술중무수혈，무방광천공，술후무계발출혈병례。술후류치도뇨관2~6d，평균（4.31±0.97）d。수방3~24개월，치유27례，호전6례，무암변발생。결론경뇨도2μm격광치료선성방광염시일충안전、유효、조작방편적미창수술방법。
Objective To explore the clinical efficacy of RevoLix 2μm continuous wave laser for treatment of glandular cystitis. Methods A total of 33 patients with glandular cystitis underwent 2μm continuous wave laser transurethrally resection. The therapeutic results were evaluated by using following variables:operative time,blood loss,indwelling catheterization and the efficacy of operation. Results All cases were accomplished successfully without serious complications. The operative time was 15-60min, mean( 36. 88 ± 11. 13 )min. The blood loss was 5 -40mL,mean( 13. 28 ± 7. 99 )mL. The mean catheterization time was(4. 31 ± 0. 97)d,range 2 -6d. After a follow-up between 3 and 24 months,27 cases cured and 6 cases improved. Conclusion 2μm continuous wave laser was a superior micro-invasive surgery method with high safety,convenient operation and infrequent complications.