本文關(guān)鍵詞： 腺性膀胱炎 選擇性光汽化術(shù) 綠激光　出處：《山東大學(xué)》2014年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：目的：探討單純選擇性綠激光汽化術(shù)治療腺性膀胱炎的有效性與安全性。 方法：本項(xiàng)研究資料為山東省立醫(yī)院泌尿微創(chuàng)中心自2010年10月至2013年8月收治的31例腺性膀胱炎病人,其中男性12例,女性19例,年齡26-63歲,平均45.8歲；臨床表現(xiàn)為尿頻、尿急、尿痛等尿路刺激癥狀者20例,其中嚴(yán)重影響正常生活工作者3例,排尿困難者6例,伴下腹部疼痛者3例,鏡下及肉眼血尿者9例；B超結(jié)果示5例膀胱粘膜結(jié)節(jié)樣隆起,14例局部粘膜增厚,4例呈實(shí)性突起；31例均經(jīng)過(guò)膀胱鏡檢查及病理活檢,病理結(jié)果均為腺性膀胱炎,31例均采用選擇性綠激光汽化術(shù)治療,所有病例均不行膀胱灌注治療,術(shù)后第1年每3個(gè)月復(fù)查膀胱鏡,1年以后每6個(gè)月復(fù)查膀胱鏡,全組隨訪6-30個(gè)月,平均16個(gè)月,膀胱鏡檢查如有異常即取活檢,通過(guò)結(jié)果以證實(shí)是否復(fù)發(fā)。本項(xiàng)研究回顧性分析所有病例的圍手術(shù)期資料、術(shù)后并發(fā)癥、術(shù)后膀胱鏡檢查及病理活檢結(jié)果,驗(yàn)證該術(shù)式的安全性與有效性。 結(jié)果：31例手術(shù)均順利完成,平均手術(shù)時(shí)間32.1min,31例手術(shù)術(shù)中均無(wú)明顯出血,術(shù)后患者尿急、尿痛、尿頻及下腹部疼痛等癥狀均消失,術(shù)后均未出現(xiàn)手術(shù)并發(fā)癥,術(shù)后平均住院天數(shù)6.7天。經(jīng)過(guò)6-30個(gè)月隨訪,其中27例治愈,3例好轉(zhuǎn),1例復(fù)發(fā),無(wú)1例癌變。 結(jié)論：?jiǎn)渭兙G激光汽化術(shù)治療腺性膀胱炎具有治愈率高、手術(shù)時(shí)間短、術(shù)后恢復(fù)快等優(yōu)勢(shì),是一種有效的方法；單純綠激光汽化術(shù)治療腺性膀胱炎安全,術(shù)后并發(fā)癥少。
[Abstract]:Objective: to investigate the efficacy and safety of selective green laser vaporization in the treatment of cystitis glandularis. Methods: from October 2010 to August 2013, 31 patients with cystitis glandularis were enrolled in this study, including 12 males and 19 females, aged 26-63 years, with a mean age of 45.8 years. There were 20 cases of urinal irritation symptoms, including serious influence on normal life in 3 cases, dysuria in 6 cases, and pain in lower abdomen in 3 cases. The results of B-ultrasound showed that 14 cases of local mucosal thickening and 14 cases of local mucosal thickening were examined by cystoscopy and pathological biopsy. All the 31 cases of cystitis glandularis were treated with selective green laser vaporization. All the cases were not treated with cystoscopy. The cystoscopy was reexamined every 3 months in the first year and every 6 months after the operation. All patients were followed up for 6-30 months with an average of 16 months. Cystoscopy biopsy was performed to confirm the recurrence of cystoscopy if there was any abnormality. This study retrospectively analyzed the perioperative data and postoperative complications in all patients. The results of cystoscopy and pathological biopsy demonstrated the safety and effectiveness of the operation. Results all the 31 cases were successfully completed, the mean operation time was 32.1min and 31 cases had no obvious bleeding. The symptoms of urinal urgency, urinal pain, frequent urination and lower abdominal pain were all disappeared, and there were no postoperative complications. The average hospital stay was 6.7 days after operation. After 6-30 months follow-up, 27 cases were cured, 3 cases improved and 1 case recurred, none case became cancerous. Conclusion: simple green laser vaporization is an effective method for the treatment of cystitis glandularis with the advantages of high cure rate, short operation time and quick postoperative recovery, and only green laser vaporization is safe in the treatment of cystitis glandularis with fewer postoperative complications.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類(lèi)號(hào)】：R694.3

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 梁勇;劉建輝;黃鳳鳴;榮興欣;袁克西;李小紅;;120例腺性膀胱炎的診斷和治療[J];第三軍醫(yī)大學(xué)學(xué)報(bào);2008年03期

2 姚友生;林明恩;;腺性膀胱炎診療新進(jìn)展[J];廣東醫(yī)學(xué);2010年01期

3 李元仲,孫濤;腺性膀胱炎的病因探討[J];臨床泌尿外科雜志;1994年05期

4 孔祥波,那萬(wàn)里,谷欣權(quán);腺性膀胱炎的診斷與治療(附55例報(bào)告)[J];臨床泌尿外科雜志;2002年02期

5 陳敏,肖傳國(guó),曾甫清,魯功成;腺性膀胱炎尿動(dòng)力學(xué)檢查及其臨床意義[J];臨床泌尿外科雜志;2003年06期

6 黃樹(shù)聲;李偉東;黃桂曉;趙磊;段啟林;曾靜;何勇;甘露;;經(jīng)尿道電切聯(lián)合絲裂霉素治療腺性膀胱炎[J];臨床泌尿外科雜志;2007年07期

7 鄧剛;張景華;胡萬(wàn)寧;洪寶發(fā);許勇;;經(jīng)尿道選擇性綠激光汽化術(shù)與電切術(shù)治療輸尿管口周?chē)傩园螂籽椎谋容^研究[J];臨床泌尿外科雜志;2007年12期

8 何佑仿;李堅(jiān);李宏軍;施源;王君君;馮s，

本文編號(hào)：1498738