国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2015年
3期
362-365
,共4页
张培新%马合苏提%蒲春林%贾宏亮%张建军%唐矛%唐泽天%李鸣
張培新%馬閤囌提%蒲春林%賈宏亮%張建軍%唐矛%唐澤天%李鳴
장배신%마합소제%포춘림%가굉량%장건군%당모%당택천%리명
膀胱疾病%电外科手术%激光疗法
膀胱疾病%電外科手術%激光療法
방광질병%전외과수술%격광요법
Urinary Bladder Diseases%Electrosurgery%Laser Therapy
目的 探讨Vela2μm激光及尿道内窥镜冷刀内切开+电切在膀胱颈挛缩治疗上的效果.方法 回顾性总结53例膀胱颈挛缩患者分别用尿道内窥镜冷刀内切开+电切28例,Vela 2 μm激光25例切开并切除挛缩的膀胱颈部.结果 Vela 2 μm激光与尿道内窥镜冷刀内切开+电切在膀胱颈挛缩治疗上手术时间(52±12min vs 31±12.5min,P=0.031)、血块堵管人数[4(14.2％)vs 1(4％),P=0.016]、术后膀胱冲洗时间[12-±2.3h vs2±1.5h,P=0.003]、膀胱颈挛缩复发人数[4(14.3％)vs 2(8％),P=0.033]及术后住院时间[5±2.5(4 ～ 10)d vs 2 ±2.3(2 ～5)d,P=0.021]有显著性差异.结论 Vela 2 μm激光与尿道内窥镜冷刀内切开+电切在处理膀胱颈部挛缩相比较,因Vela 2μm激光波长的特性,其精确、高效、良好的汽化止血效果功能,较浅穿透深度使膀胱颈部挛缩的治疗时间、血管堵管、术后膀胱冲洗时间及住院时间有优势,近期复发率也有所减低,是目前临床上较为安全可靠的膀胱颈挛缩的治疗手段.
目的 探討Vela2μm激光及尿道內窺鏡冷刀內切開+電切在膀胱頸攣縮治療上的效果.方法 迴顧性總結53例膀胱頸攣縮患者分彆用尿道內窺鏡冷刀內切開+電切28例,Vela 2 μm激光25例切開併切除攣縮的膀胱頸部.結果 Vela 2 μm激光與尿道內窺鏡冷刀內切開+電切在膀胱頸攣縮治療上手術時間(52±12min vs 31±12.5min,P=0.031)、血塊堵管人數[4(14.2％)vs 1(4％),P=0.016]、術後膀胱遲洗時間[12-±2.3h vs2±1.5h,P=0.003]、膀胱頸攣縮複髮人數[4(14.3％)vs 2(8％),P=0.033]及術後住院時間[5±2.5(4 ～ 10)d vs 2 ±2.3(2 ～5)d,P=0.021]有顯著性差異.結論 Vela 2 μm激光與尿道內窺鏡冷刀內切開+電切在處理膀胱頸部攣縮相比較,因Vela 2μm激光波長的特性,其精確、高效、良好的汽化止血效果功能,較淺穿透深度使膀胱頸部攣縮的治療時間、血管堵管、術後膀胱遲洗時間及住院時間有優勢,近期複髮率也有所減低,是目前臨床上較為安全可靠的膀胱頸攣縮的治療手段.
목적 탐토Vela2μm격광급뇨도내규경냉도내절개+전절재방광경련축치료상적효과.방법 회고성총결53례방광경련축환자분별용뇨도내규경냉도내절개+전절28례,Vela 2 μm격광25례절개병절제련축적방광경부.결과 Vela 2 μm격광여뇨도내규경냉도내절개+전절재방광경련축치료상수술시간(52±12min vs 31±12.5min,P=0.031)、혈괴도관인수[4(14.2％)vs 1(4％),P=0.016]、술후방광충세시간[12-±2.3h vs2±1.5h,P=0.003]、방광경련축복발인수[4(14.3％)vs 2(8％),P=0.033]급술후주원시간[5±2.5(4 ～ 10)d vs 2 ±2.3(2 ～5)d,P=0.021]유현저성차이.결론 Vela 2 μm격광여뇨도내규경냉도내절개+전절재처리방광경부련축상비교,인Vela 2μm격광파장적특성,기정학、고효、량호적기화지혈효과공능,교천천투심도사방광경부련축적치료시간、혈관도관、술후방광충세시간급주원시간유우세,근기복발솔야유소감저,시목전림상상교위안전가고적방광경련축적치료수단.
Objectives To companng the safety and efficacy between direct vision internal urethrotomy (DVIU) combined with bipolar plasmakinetic electrocautery (PKR) and laser cicatrectomy for the treatment of bladder neck contracture.Methods 53 cases with bladder neck contracture were treated by DVIU combined with PKR for 28 and laser cicatrectomy for 25 cases respectively.Results There were significant differences in mean operative time(52 ± 12 vs 31 ± 12.5),Clot retention caused by bleeding[4(14.2％) vs1 (4％)],bladder irrigation of postoperation (12 ± 2.3 vs 2 ± 1.5),mean hospital stay of postoperation [5 ± 2.5 (4-1 0) vs 2 ± 2.3 (2-5)],recurrence of BNC[4(14.3％) vs2 (8％)].Conclusions Vela 2μm laser urethrotomy is a safe and efficacious procedure for patients with BNC due to characteristic of wavelength.
