论文部分内容阅读
目的:研究绿激光汽化术治疗腺性膀胱炎的安全性和可靠性。方法:应用绿激光治疗系统经尿道膀胱镜下对34例腺性膀胱炎患者进行选择性光汽化治疗,术后辅以吡柔比星膀胱灌注。结果:本组34例腺性膀胱炎患者均1次直接汽化成功,术中几乎无出血、无闭孔神经反射、无膀胱穿孔、无水中毒发生,术后随访12个月～30个月,其中1例术后1年3个月时复发,给予上述相同方法治疗,术后继续随访。术后每3个月行膀胱镜检查1次,见膀胱黏膜已修复完整,未见膀胱炎症存在,术后1年随机对本组中20例患者行膀胱组织活检,病理显示:未见Brunn’s巢,本组患者术后疗效满意。结论:绿激光汽化术治疗腺性膀胱炎效果确切、复发率低,是一种安全有效的微创治疗方法。
Objective: To study the safety and reliability of green laser vaporization in treating cystitis glandularis. Methods: A total of 34 patients with cystitis glandularis were treated with selective photocoagulation with a green laser therapy system under transurethral cystoscopy. Intraperitoneal injection of pirarubicin was performed after intravesical instillation. Results: All the 34 patients with glandular cystitis were successfully vaporized directly. There was almost no bleeding during operation, no obturator nerve reflex, no bladder perforation and no water poisoning. The patients were followed up for 12 months to 30 months, Among them, 1 patient recurred at 1 year and 3 months after operation, and were given the same treatment as above. Follow-up was continued after operation. The cystoscopy was performed once every 3 months after operation. The bladder mucosa had been repaired intact. No bladder inflammation was found. Twenty patients in this group were randomly selected to undergo bladder biopsy at one year postoperatively. The pathology showed no Brunn’s nest, This group of patients with satisfactory results. Conclusion: Green laser vaporization for the treatment of glandular cystitis has the exact effect and low recurrence rate. It is a safe and effective minimally invasive treatment.