3种微创手术方法经尿道治疗膀胱血凝块填塞的比较分析

发布时间：2018-01-14 22:04

本文关键词：3种微创手术方法经尿道治疗膀胱血凝块填塞的比较分析　出处：《中国内镜杂志》2016年01期 　论文类型：期刊论文

【摘要】：目的比较电切镜、EMS肾镜和手术刨削器经尿道治疗膀胱内血凝块的手术效果。方法回顾性分析2010年5月-2015年5月46例患者经尿道微创治疗膀胱内血凝块的临床资料,其中采用电切镜清除膀胱内血凝块25例(电切镜组);采用EMS肾镜清除膀胱内血凝块11例(肾镜组);采用手术刨削器治疗膀胱内血凝块10例(刨削器组),比较3种治疗方法的临床效果。结果 46例患者膀胱内血块均被彻底清除,其中35例同期采用电切镜处理了出血点或出血病灶,3组血块清除效率(7.57±2.25)ml/min vs(11.43±4.06)ml/min vs(12.11±4.24)ml/min,P0.05。肾镜组和刨削器组血块清除效率均明显高于电切镜组(P0.05),刨削器组效率最高,但与肾镜组差异无统计学意义(P0.05)。结论应用EMS肾镜和手术刨削器清除膀胱内巨大血凝块效率高,电切镜在清除血块后处理出血病灶上更方便快捷。
[Abstract]:Objective to compare electrosurgical endoscopy. EMS nephroscope and surgical planer were used to treat intravesical blood clots. Methods from May 2010 to May 2015, 46 patients with intravesical blood clots were treated with transurethral minimally invasive therapy. Bed information. 25 cases of intravesical blood clot were removed by electrocautery (ESS group). EMS nephroscope was used to remove intravesical blood clot in 11 cases (nephroscope group). Ten cases of intravesical blood clots were treated with surgical planer (planer group) and the clinical effects of 3 methods were compared. Results 46 cases of bladder blood clot were completely removed. Among them, 35 cases were treated with electrosurgical endoscopy. The clearance efficiency of blood clot was 7.57 卤2.25ml / min vs(11.43 卤4.06ml / min vs(12.11 卤4.24ml / min. P0.05. the blood clot clearance efficiency in the nephroscope group and planer group was significantly higher than that in the electroresection group (P 0.05), and the planer group had the highest efficiency. But there was no significant difference between the two groups (P 0.05). Conclusion EMS nephroscope and surgical planer are effective in removing large blood clots in bladder. Electrocautery is more convenient and quick to deal with bleeding lesions after removal of blood clot.
【作者单位】：兰州军区乌鲁木齐总医院泌尿外科;
【分类号】：R699.5
【正文快照】： 膀胱血凝块填塞是泌尿外科临床较为常见的一种急症,是指大量凝血块聚集在膀胱内堵塞膀胱腔,导致尿潴留或导尿管引流不畅[1-2]。2010年5月-2015年5月,本研究采用电切镜、EMS肾镜和手术刨削器3种经尿道微创手术方法治疗膀胱内血凝块共46例,对其治疗效果进行对比分析。现报道如下

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